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Peripheral Atheroembolism: An Enigma

Peripheral Atheroembolism: An Enigma Abstract • Fifteen patients with peripheral atheroembolism were studied and followed up for from one to three years. Clinical recognition of this condition is often masked by its elusive presentation. Foot pain may be the very earliest symptom. Transient presentation is an important feature. Eventually, gangrene develops in the toes. Ankle pulses are present on physical examination. Both aortography showing proximal ulcerative plaques and digital arteriograms revealing the sharp cutoff pattern of an arterial embolus provide diagnostic confirmation. The results of treatment were satisfactory in all instances following aortoiliac endarterectomy or Dacron graft interposition. In five patients with gangrenous changes, toe amputation was necessary. (Arch Surg 112:987-990, 1977) References 1. Edwards EA, Tilney N, Lindquist RR: Causes of peripheral embolism and their significance . JAMA 196:119-138, 1966.Crossref 2. Wagner RB, Martin AS: Peripheral atheroembolism . Surgery 73:353-359, 1973. 3. Gore I, Collins DP: Spontaneous atheromatous embolization . Am J Clin Pathol 33:416-426, 1960. 4. Maurizi CP, Barker AE, Trueheart RE: Atheromatous emboli, a post mortem study with special reference to the lower extremities . Arch Pathol 86:528-534, 1968. 5. Kwaan JHM, VanderMolen R, Stemmer EA, et al: Peripheral embolism resulting from unsuspected atheromatous aortic plaques . Surgery 78:583-588, 1975. 6. Harvey JC: Cholesterol crystal microembolization . South Med J 69:269-272, 1976.Crossref 7. Perdue GD Jr, Smith RB III: Atheromatous microemboli . Ann Surg 169:954, 1969.Crossref 8. Erskine JM, in discussion, Mehigan JT, Stoney RJ: Lower extremity atheromatous embolization . Am J Surg 132:163-167, 1976.Crossref 9. Anderson WR, Richards AM: Evaluation of lower extremity muscle biopsies in the diagnosis of atheroebolism . Arch Pathol 86:535-541, 1968. 10. Carvajal JA, Anderson R, Weiss L, et al: Atheroembolism . Arch Intern Med 119:593-599, 1967.Crossref 11. Mehigan JT, Stoney RJ: Lower extremity atheromatous embolization . Am J Surg 132:163-167, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Peripheral Atheroembolism: An Enigma

Archives of Surgery , Volume 112 (8) – Aug 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370080085014
Publisher site
See Article on Publisher Site

Abstract

Abstract • Fifteen patients with peripheral atheroembolism were studied and followed up for from one to three years. Clinical recognition of this condition is often masked by its elusive presentation. Foot pain may be the very earliest symptom. Transient presentation is an important feature. Eventually, gangrene develops in the toes. Ankle pulses are present on physical examination. Both aortography showing proximal ulcerative plaques and digital arteriograms revealing the sharp cutoff pattern of an arterial embolus provide diagnostic confirmation. The results of treatment were satisfactory in all instances following aortoiliac endarterectomy or Dacron graft interposition. In five patients with gangrenous changes, toe amputation was necessary. (Arch Surg 112:987-990, 1977) References 1. Edwards EA, Tilney N, Lindquist RR: Causes of peripheral embolism and their significance . JAMA 196:119-138, 1966.Crossref 2. Wagner RB, Martin AS: Peripheral atheroembolism . Surgery 73:353-359, 1973. 3. Gore I, Collins DP: Spontaneous atheromatous embolization . Am J Clin Pathol 33:416-426, 1960. 4. Maurizi CP, Barker AE, Trueheart RE: Atheromatous emboli, a post mortem study with special reference to the lower extremities . Arch Pathol 86:528-534, 1968. 5. Kwaan JHM, VanderMolen R, Stemmer EA, et al: Peripheral embolism resulting from unsuspected atheromatous aortic plaques . Surgery 78:583-588, 1975. 6. Harvey JC: Cholesterol crystal microembolization . South Med J 69:269-272, 1976.Crossref 7. Perdue GD Jr, Smith RB III: Atheromatous microemboli . Ann Surg 169:954, 1969.Crossref 8. Erskine JM, in discussion, Mehigan JT, Stoney RJ: Lower extremity atheromatous embolization . Am J Surg 132:163-167, 1976.Crossref 9. Anderson WR, Richards AM: Evaluation of lower extremity muscle biopsies in the diagnosis of atheroebolism . Arch Pathol 86:535-541, 1968. 10. Carvajal JA, Anderson R, Weiss L, et al: Atheroembolism . Arch Intern Med 119:593-599, 1967.Crossref 11. Mehigan JT, Stoney RJ: Lower extremity atheromatous embolization . Am J Surg 132:163-167, 1976.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1977

References