Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn
This case report describes a successful revascularisation of severe acute limb ischemia (ALI) in a 4-week-old newborn following common femoral artery dissection due to catheterization for invasive blood pressure measurement during cardiac arrest in the intensive care unit. Iatrogenic acute limb isch...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687825000030 |
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| author | Manuela Schulz Johannes Hatzl Katrin Meisenbacher Christian Gille Andreas S. Peters Dittmar Böckler |
| author_facet | Manuela Schulz Johannes Hatzl Katrin Meisenbacher Christian Gille Andreas S. Peters Dittmar Böckler |
| author_sort | Manuela Schulz |
| collection | DOAJ |
| description | This case report describes a successful revascularisation of severe acute limb ischemia (ALI) in a 4-week-old newborn following common femoral artery dissection due to catheterization for invasive blood pressure measurement during cardiac arrest in the intensive care unit. Iatrogenic acute limb ischemia in childhood is very rare and, in selected cases, a fatal condition potentially associated with limb loss and lifelong mobility impairments. The most common cause of acute limb ischemia in newborns is catheter-associated thrombosis. Current clinical guidelines recommend primary conservative management with heparin administration (level of recommendation: Class 1C) for children under 2 years of age. If revascularization is needed and indicated, open surgical techniques are typically performed. The following case report describes successful surgical treatment of acute limb ischemia in the context of current literature on ALI in childhood, including clinical presentation, diagnosis, treatment, and follow-up. |
| format | Article |
| id | doaj-art-18a2b2e761d04fdd932f3a765c5cf3c9 |
| institution | DOAJ |
| issn | 2772-6878 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj-art-18a2b2e761d04fdd932f3a765c5cf3c92025-08-20T02:52:23ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782025-03-015110036210.1016/j.avsurg.2025.100362Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newbornManuela Schulz0Johannes Hatzl1Katrin Meisenbacher2Christian Gille3Andreas S. Peters4Dittmar Böckler5Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, Germany; Corresponding author at: Im Neuenheimer Feld 420, 69126, Heidelberg, Germany.Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Neonatology, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, GermanyDepartment of Vascular and Endovascular Surgery, University Hospital Heidelberg, Heidelberg, GermanyThis case report describes a successful revascularisation of severe acute limb ischemia (ALI) in a 4-week-old newborn following common femoral artery dissection due to catheterization for invasive blood pressure measurement during cardiac arrest in the intensive care unit. Iatrogenic acute limb ischemia in childhood is very rare and, in selected cases, a fatal condition potentially associated with limb loss and lifelong mobility impairments. The most common cause of acute limb ischemia in newborns is catheter-associated thrombosis. Current clinical guidelines recommend primary conservative management with heparin administration (level of recommendation: Class 1C) for children under 2 years of age. If revascularization is needed and indicated, open surgical techniques are typically performed. The following case report describes successful surgical treatment of acute limb ischemia in the context of current literature on ALI in childhood, including clinical presentation, diagnosis, treatment, and follow-up.http://www.sciencedirect.com/science/article/pii/S2772687825000030 |
| spellingShingle | Manuela Schulz Johannes Hatzl Katrin Meisenbacher Christian Gille Andreas S. Peters Dittmar Böckler Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn Annals of Vascular Surgery - Brief Reports and Innovations |
| title | Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn |
| title_full | Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn |
| title_fullStr | Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn |
| title_full_unstemmed | Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn |
| title_short | Surgical extremity preservation in severe acute limb ischemia in a 4-week-old newborn |
| title_sort | surgical extremity preservation in severe acute limb ischemia in a 4 week old newborn |
| url | http://www.sciencedirect.com/science/article/pii/S2772687825000030 |
| work_keys_str_mv | AT manuelaschulz surgicalextremitypreservationinsevereacutelimbischemiaina4weekoldnewborn AT johanneshatzl surgicalextremitypreservationinsevereacutelimbischemiaina4weekoldnewborn AT katrinmeisenbacher surgicalextremitypreservationinsevereacutelimbischemiaina4weekoldnewborn AT christiangille surgicalextremitypreservationinsevereacutelimbischemiaina4weekoldnewborn AT andreasspeters surgicalextremitypreservationinsevereacutelimbischemiaina4weekoldnewborn AT dittmarbockler surgicalextremitypreservationinsevereacutelimbischemiaina4weekoldnewborn |