Acute ischemia of the lower extremity in the pediatric population: a protocol for management
Taub, P.J.; O'Connell, J.P.; Singh, A.; Pinto, A.; Kapklein, M.; Goltzman, C.; Koch, R.M.
Mount Sinai Journal of Medicine new York 73(8): 1074-1078
2006
ISSN/ISBN: 0027-2507 PMID: 17285197 Document Number: 603320
Each year, a large number of infants and children undergo vascular catheterization via access in a lower extremity. The femoral system is relatively easy to cannulate, and this approach avoids use of more central access approaches that may present more serious complications. Infrequently, however, pediatric patients develop acute ischemia of the ipsilateral lower extremity. Several surgical and nonsurgical treatment options exist for the management of such problems. However, no adequate protocol exists for the management of acute lower extremity ischemia in the pediatric population. The authors present several cases of distal lower extremity ischemia as a result of femoral artery catheterization and offer a protocol for management of similar cases.