Acute limb ischemia from gunshot wound secondary to arterial vasospasm

Acute limb ischemia from gunshot wound secondary to arterial vasospasm

Gunshot wounds are rising in incidence, morbidity, and mortality. It is thought that about half of nonfatal injuries occur in an extremity. Although the incidence is not known, arterial vasospasm can result in acute limb ischemia. We present the case of a 33-year-old man who suffered a gunshot wound...

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Main Authors: Corbin E. Goerlich, MD, Apurva B. Challa, MBBS, Mahmoud M. Malas, MD, MHS, RPVI, FACS
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718301321
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spelling doaj-770e7f7a104742fe9b9a943a20b67b232020-11-25T01:13:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-06-015299103Acute limb ischemia from gunshot wound secondary to arterial vasospasmCorbin E. Goerlich, MD0Apurva B. Challa, MBBS1Mahmoud M. Malas, MD, MHS, RPVI, FACS2Department of Surgery, Johns Hopkins Hospital, Baltimore, MdDepartment of Surgery, Johns Hopkins Hospital, Baltimore, MdJohns Hopkins Bayview Vascular and Endovascular Research Center, Batimore, Md; Correspondence: Mahmoud M. Malas, MD, MHS, RPVI, FACS, Vice Chair of Surgery for Clinical Research, Chief Vascular and Endovascular Surgery, University of California San Diego Health System, 9300 Campus Point Dr, MC 7403, La Jolla, CA 92037Gunshot wounds are rising in incidence, morbidity, and mortality. It is thought that about half of nonfatal injuries occur in an extremity. Although the incidence is not known, arterial vasospasm can result in acute limb ischemia. We present the case of a 33-year-old man who suffered a gunshot wound to the left lower extremity resulting in arterial vasospasm of the superficial femoral artery. He quickly regained arterial flow, and we were able to manage his acute limb ischemia nonoperatively and to document restoration of flow through serial examinations and Doppler imaging. He was subsequently discharged the next day and is experiencing a full recovery. Keywords: Vasospasm, Acute limb ischemia, Gunshot wound, Trauma, Managementhttp://www.sciencedirect.com/science/article/pii/S2468428718301321
collection DOAJ
language English
format Article
sources DOAJ
author Corbin E. Goerlich, MD
Apurva B. Challa, MBBS
Mahmoud M. Malas, MD, MHS, RPVI, FACS
spellingShingle Corbin E. Goerlich, MD
Apurva B. Challa, MBBS
Mahmoud M. Malas, MD, MHS, RPVI, FACS
Acute limb ischemia from gunshot wound secondary to arterial vasospasm
Journal of Vascular Surgery Cases and Innovative Techniques
author_facet Corbin E. Goerlich, MD
Apurva B. Challa, MBBS
Mahmoud M. Malas, MD, MHS, RPVI, FACS
author_sort Corbin E. Goerlich, MD
title Acute limb ischemia from gunshot wound secondary to arterial vasospasm
title_short Acute limb ischemia from gunshot wound secondary to arterial vasospasm
title_full Acute limb ischemia from gunshot wound secondary to arterial vasospasm
title_fullStr Acute limb ischemia from gunshot wound secondary to arterial vasospasm
title_full_unstemmed Acute limb ischemia from gunshot wound secondary to arterial vasospasm
title_sort acute limb ischemia from gunshot wound secondary to arterial vasospasm
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2019-06-01
description Gunshot wounds are rising in incidence, morbidity, and mortality. It is thought that about half of nonfatal injuries occur in an extremity. Although the incidence is not known, arterial vasospasm can result in acute limb ischemia. We present the case of a 33-year-old man who suffered a gunshot wound to the left lower extremity resulting in arterial vasospasm of the superficial femoral artery. He quickly regained arterial flow, and we were able to manage his acute limb ischemia nonoperatively and to document restoration of flow through serial examinations and Doppler imaging. He was subsequently discharged the next day and is experiencing a full recovery. Keywords: Vasospasm, Acute limb ischemia, Gunshot wound, Trauma, Management
url http://www.sciencedirect.com/science/article/pii/S2468428718301321
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AT mahmoudmmalasmdmhsrpvifacs acutelimbischemiafromgunshotwoundsecondarytoarterialvasospasm
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