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Acute upper limb ischemia in a patient with newly diagnosed paroxysmal atrial fibrillation
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논문 기본 정보

Type
Academic journal
Author
Journal
영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제34권 제2호 KCI Accredited Journals
Published
2017.1
Pages
242 - 246 (5page)

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Acute upper limb ischemia in a patient with newly diagnosed paroxysmal atrial fibrillation
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Acute limb ischemia (ALI) due to an embolism is associated with high mortality rate and poor prognosis, and early diagnosis with prompt revascularization is required to reduce the risk of limb amputation or even death. The etiologies of ALI are diverse, and it includes an embolism from the heart and thrombotic occlusion of the atherosclerotic native vessels, stents, or grafts. An uncommon cause of ALI is acute arterial thromboembolism, and atrial fibrillation (AF) is the single most important risk factors for systemic thromboembolism. It is important to correctly identify the source of ALI for secondary prevention, as it depends on the underlying cause. Percutaneous transluminal angioplasty (PTA) has been proven to be a safe and effective treatment for focal atherosclerotic and thrombotic occlusive diseases of the aorta and its major extremity branches. Herein, we report on a 77-year-old female patient with acute upper limb ischemia, treated by PTA using a catheter-guided thrombectomy. He was newly diagnosed with paroxysmal AF (PAF) while evaluation the cause of his acute arterial thromboembolism. We recommend that cardiologists always consider PAF as a possible diagnosis even in patients without any history of AF under ALI because it is possible to develop thromboembolism in clinical practice
#Thromboembolism #Atrial fibrillation #Peripheral arterial disease #Angioplasty

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References (13)

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Andersen LV / 2008 / Warfarin for the prevention of systemic embolism in patients with non-valvular atrial fibrillation:a meta-analysis / Heart 94 : 1607 ~ 1613 google schola Andersen LV / 2010 / Upper-limb thrombo-embolectomy: national cohort study in Denmark / Eur J Vasc Endovasc Surg 40 : 628 ~ 634 google schola Andersen LV / 2013 / Upper limb arterial thromboembolism: a systematic review on incidence, risk factors, and prognosis, including a meta-analysis of risk-modifying drugs / J google schola Connolly SJ / 2009 / Dabigatran versus warfarin in patients with atrial fibrillation / N Engl J Med 361 : 1139 ~ 1151 google schola Connolly SJ / 2011 / Apixaban in patients with atrial fibrillation / N Engl J Med 364 : 806 ~ 817 google schola

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