علاج نقص تروية الطرف العلوي الحاد (روذرفورد درجة IIa) مع طرف قابل للحياة وغير مهدد

References

• Some patients with upper limb ischaemia appear to have no immediate threat to their limb, (no motor or sensory loss, no muscle tenderness, audible arterial signals at the wrist on Doppler; Rutherford grade IIa) and conservative treatment with AC alone may be appropriate.
• For a patient with acute ischaemia of the upper limb, conservative treatment with anticoagulation alone is not recommended if the arm is threatened, or if limb function is important to quality of life.
• Acute treatment is similar for upper and lower limb ischaemia: systemic AC; intravenous fluids; oxygen; and medical optimisation (e.g., management of AF).
• If the decision is made to treat upper limb ischaemia conservatively with AC alone, the arm should be reviewed regularly over the next few days to ensure it does not deteriorate.