Risk factors associated with acute lower extremity ischemia after coronary revascularization
| Autor: | Enrique Gongora, Debra Kohlman-Trigoboff, Jon L. Stanford, Bruce M. Smith |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Occlusive disease Arterial Occlusive Diseases Coronary Disease Femoral artery Coronary artery disease Ischemia Risk Factors medicine.artery Internal medicine medicine Humans Lower extremity ischemia Angioplasty Balloon Coronary Medical History Taking Physical Examination Aged Retrospective Studies Aged 80 and over Peripheral Vascular Diseases Leg business.industry Incidence (epidemiology) Incidence Middle Aged medicine.disease Coronary revascularization Surgery Medical–Surgical Nursing Treatment Outcome Amputation Acute Disease District of Columbia Cardiology Female Complication business |
| Zdroj: | Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing. 20(3) |
| ISSN: | 1062-0303 |
| Popis: | Acute lower extremity ischemia (ALEI) is a recognized complication of coronary revascularization that can lead to emergent lower extremity revascularization, amputation, and death. Patients with correctable coronary artery disease have a high incidence of lower extremity arterial occlusive disease (AOD). But, despite the known high correlation between AOD and coronary artery disease, the status of the lower extremity vasculature in patients undergoing coronary revascularization may be overlooked until the lower extremity becomes profoundly ischemic. Data from a retrospective review of 35,000 coronary revascularization procedures identified 55 patients who developed ALEI, subsequent to their cardiac procedures. Risk factors for ALEI included femoral artery instrumentation, previous coronary revascularization, hemodynamic instability, and documented AOD. Means of identifying patients at risk for ALEI are discussed. (J Vasc Nurs 2002;20:78-83) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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