Cocaine-associated lower limb ischemia.
dc.contributor.author | Collins, Chris G | |
dc.contributor.author | Seoighe, Deirdre | |
dc.contributor.author | Ireland, Adrian | |
dc.contributor.author | Bouchier-Hayes, David | |
dc.contributor.author | McGrath, Frank | |
dc.date.accessioned | 2011-07-25T08:29:42Z | |
dc.date.available | 2011-07-25T08:29:42Z | |
dc.date.issued | 2011-07-25T08:29:42Z | |
dc.identifier.citation | Cocaine-associated lower limb ischemia., 16 (5):297-9 Vascular | en |
dc.identifier.issn | 1708-5381 | |
dc.identifier.pmid | 19238875 | |
dc.identifier.uri | http://hdl.handle.net/10147/136771 | |
dc.description.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. | |
dc.language.iso | en | en |
dc.relation.url | http://www.ncbi.nlm.nih.gov/pubmed/19238875 | en |
dc.subject.mesh | Adult | |
dc.subject.mesh | Cocaine-Related Disorders | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Iloprost | |
dc.subject.mesh | Intermittent Claudication | |
dc.subject.mesh | Ischemia | |
dc.subject.mesh | Lower Extremity | |
dc.subject.mesh | Male | |
dc.subject.mesh | Vasodilator Agents | |
dc.title | Cocaine-associated lower limb ischemia. | en |
dc.type | Article | en |
dc.contributor.department | Department of Vascular Surgery, Beaumont Hospital, Dublin, Ireland. | en |
dc.identifier.journal | Vascular | en |
dc.description.province | Leinster | |
html.description.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. |