Chapter 4: Management of Acute Limb Ischaemia

The following sections are included:

• Acute limb ischaemia (ALI) is associated with significant mortality and morbidity.

• Clinical assessment is paramount for planning management.

• All cases of ALI should be assessed by a vascular specialist.

• All cases should be started on intravenous heparin as soon as possible to prevent extension of thrombus.

• Surgery is preferred with severe ALI as time is of essence.

• Thrombolysis is associated with a lower mortality rate but higher failure rates.

• Surgery is more durable but is associated with a higher mortality rate.

• If compartment syndrome is likely or suspected, a fasciotomy is required.