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    Cocaine-associated lower limb ischemia.

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    Authors
    Collins, Chris G
    Seoighe, Deirdre
    Ireland, Adrian
    Bouchier-Hayes, David
    McGrath, Frank
    Affiliation
    Department of Vascular Surgery, Beaumont Hospital, Dublin, Ireland.
    Issue Date
    2011-07-25T08:29:42Z
    MeSH
    Adult
    Cocaine-Related Disorders
    Humans
    Iloprost
    Intermittent Claudication
    Ischemia
    Lower Extremity
    Male
    Vasodilator Agents
    
    Metadata
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    Citation
    Cocaine-associated lower limb ischemia., 16 (5):297-9 Vascular
    Journal
    Vascular
    URI
    http://hdl.handle.net/10147/136771
    PubMed ID
    19238875
    Additional Links
    http://www.ncbi.nlm.nih.gov/pubmed/19238875
    Abstract
    Cocaine-associated thrombosis has been reported in the literature with reports of vascular injuries to cardiac, pulmonary, intestinal, placental, and musculoskeletal vessels; however, injury of the pedal vessels is rare. We report on a 31-year-old man who presented 2 months following a cocaine binge with limb-threatening ischemia without an otherwise identifiable embolic source. Angiography confirmed extensive occlusive disease of the tibioperoneal vessels. The patient improved following therapy with heparin and a prostacyclin analogue. Cocaine-induced thrombosis should be considered in patients presenting with acute arterial insufficiency in the lower limb without any other identifiable cause.
    Item Type
    Article
    Language
    en
    ISSN
    1708-5381
    Collections
    Beaumont Hospital

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