Acute Limb Ischaemia - Blood Clot Treatment

Acute Limb Ischaemia is an attack in your legs / hands similar to heart attack. Little delay can cost patient with loss of limb or life.

	What is Acute Limb Ischemia?
	ALI is blood clot (thrombus) formation in arteries of legs / hands. It leads to abrupt cut-off in blood circulation of legs / hands leading to death of the body cells of particular limb.
	Is it a serious problem?
	Yes. It’s an emergency condition & you must see a qualified vascular surgeon immediately.
	Why does it happen?
	Mainly two reasons Clot, pushed out of heart towards arteries of legs (Seen in patients with pre-existing heart problems) Fresh clot formation at areas of partial blockage (in pre-existing peripheral arterial disease patients)
	Who are at risk?
	Old age (>50 years) Smokers or Tobacco chewing (Any age group) Diabetes Mellitus High Blood Pressure High blood cholesterol levels / Obesity Pre - existing Heart disease / PAD Those with blood clotting tendencies
	What are the symptoms / clinical presentation?
	Sudden onset leg or hand Pain Feeling of numbness in leg / hand Loss of movement & sensation in limb (similar to paralysis) Blue /black colour changes in toes / fingers
	What if I neglect it?
	It’s a condition similar to heart attack. If delayed, you may lose your leg / hand / life. Delay in treatment may increase risk of kidney failure also. So it’s better to consult a vascular surgeon as soon as possible.
	What to do next if I am suspecting ALI in my legs?
	Consult a Vascular surgeon for assessment. Doctor will perform an ultrasound Doppler test of your legs & will explain you further course of treatment.
	What are the treatment options?
	Urgent Thrombectomy (clot removal from arteries) If patient comes late - Fasciotomy / Amputation

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