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dc.contributor.authorCollins, Chris G
dc.contributor.authorSeoighe, Deirdre
dc.contributor.authorIreland, Adrian
dc.contributor.authorBouchier-Hayes, David
dc.contributor.authorMcGrath, Frank
dc.date.accessioned2011-07-25T08:29:42Z
dc.date.available2011-07-25T08:29:42Z
dc.date.issued2011-07-25T08:29:42Z
dc.identifier.citationCocaine-associated lower limb ischemia., 16 (5):297-9 Vascularen
dc.identifier.issn1708-5381
dc.identifier.pmid19238875
dc.identifier.urihttp://hdl.handle.net/10147/136771
dc.description.abstractCocaine-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.
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/19238875en
dc.subject.meshAdult
dc.subject.meshCocaine-Related Disorders
dc.subject.meshHumans
dc.subject.meshIloprost
dc.subject.meshIntermittent Claudication
dc.subject.meshIschemia
dc.subject.meshLower Extremity
dc.subject.meshMale
dc.subject.meshVasodilator Agents
dc.titleCocaine-associated lower limb ischemia.en
dc.typeArticleen
dc.contributor.departmentDepartment of Vascular Surgery, Beaumont Hospital, Dublin, Ireland.en
dc.identifier.journalVascularen
dc.description.provinceLeinster
html.description.abstractCocaine-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.


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