Necrotic leg ulcers secondary to hydrophilic polymer gel emboli
Autor: | Nina Sabzevari, Brian Schapiro, Brian Stewart |
---|---|
Rok vydání: | 2019 |
Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Hydrophilic polymer gel medicine.medical_treatment lcsh:Surgery Eschar 030204 cardiovascular system & hematology Balloon Revascularization 030218 nuclear medicine & medical imaging Atherectomy 03 medical and health sciences 0302 clinical medicine Embolus Angioplasty Case report medicine Emboli Purpura Ulcers medicine.diagnostic_test business.industry lcsh:RD1-811 Surgery Amputation lcsh:RC666-701 Angiography medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | Journal of Vascular Surgery Cases and Innovative Techniques Journal of Vascular Surgery Cases and Innovative Techniques, Vol 5, Iss 3, Pp 310-313 (2019) |
ISSN: | 2468-4287 |
Popis: | A 63-year-old man presented with left lower extremity ischemia and pain. Left lower extremity angiography revealed calcification throughout the superficial femoral artery, prompting atherectomy and angioplasty with a drug-coated balloon. About 1 week after the procedure, he developed angulated ulcers with central eschar on the left lower extremity and was referred to the dermatology clinic. A biopsy showed cutaneous intravascular foreign material consistent with hydrophilic polymer gel. In patients who develop retiform purpura and ulcerations after endovascular procedures, the diagnosis of hydrophilic polymer embolus should be considered. Treatment consists of supportive care, making early identification vital to avoid unnecessary amputation. Keywords: Hydrophilic polymer gel, Revascularization, Emboli, Ulcers, Purpura, Angioplasty |
Databáze: | OpenAIRE |
Externí odkaz: |