Abstract
Infrapopliteal occlusion is uncommon after blunt trauma, and limb salvage after delayed diagnosis is even rarer. We present the case of a 56-year-old man who had complex lower leg orthopedic fractures along with a reportedly normal pulse examination with an 11-day diagnostic delay of limb-threatening ischemia requiring distal revascularization. This case illustrates an incidence of delayed infrapopliteal three-vessel occlusion with successful revascularization and subsequent endovascular management to maintain patency. We describe the workup and treatment of delayed infrapopliteal occlusion and a review of the current literature on this topic.
MeSH terms
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Accidents, Traffic
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Angioplasty
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Arterial Occlusive Diseases / diagnosis
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Arterial Occlusive Diseases / etiology
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Arterial Occlusive Diseases / physiopathology
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Arterial Occlusive Diseases / surgery*
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Constriction, Pathologic
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Delayed Diagnosis*
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Fibula / injuries
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Fibula / surgery
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Fracture Fixation
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Humans
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Ischemia / diagnosis
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Ischemia / etiology
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Ischemia / physiopathology
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Ischemia / surgery*
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Limb Salvage*
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Male
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Middle Aged
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Radiography
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Saphenous Vein / transplantation*
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Tibial Arteries / diagnostic imaging
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Tibial Arteries / physiopathology
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Tibial Arteries / surgery*
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Tibial Fractures / etiology
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Tibial Fractures / surgery
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Time Factors
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Treatment Outcome
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Vascular Patency
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Wounds, Nonpenetrating / diagnosis
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Wounds, Nonpenetrating / etiology
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Wounds, Nonpenetrating / surgery*