What are the ESC/ESVS treatment guidelines for acute limb ischemia in peripheral arterial occlusive disease (PAOD)?

Updated: Sep 12, 2019
  • Author: Josefina A Dominguez, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Recommendations for management of acute limb ischemia are as follows:

  • In the case of neurologic deficit, urgent revascularization is indicated; imaging should not delay intervention (class I recommendation; evidence level C)
  • In the absence of neurologic deficit, revascularization is indicated within hours after initial imaging on a case-by-case basis (class I recommendation; evidence level C)
  • Heparin and analgesics are indicated as soon as possible (class I recommendation; evidence level C)

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