Page 79 - Virtual Vascular Vol 4
P. 79
Subacute Femoral Embolism
An 88 year old gentleman presented with right calf
and foot rest pain for ten days. Physical exam found a
cold right foot. The dorsalis paedis, posterior tibial
and popliteal pulses were not palpable. Capillary refill
>2s.
He had a past medical history of atrial fibrillation but
recently stopped NOAC due to an episode of upper GI
bleeding a few months prior.
Duplex ultrasound showed clots in the distal SFA with
absence of flow distal to it. In view of the right acute Pre-embolectomy showing dusky
limb ischaemia, right femoral embolectomy was Thrombus retrieved toes on the right foot
performed for the patient.
Post-embolectomy showing well
perfused right foot
A transverse arteriotomy was made over distal common femoral artery. A Fogarty NOAC was restarted for this patient in view of his acute limb ischaemia
78
catheter was inserted to the superficial femoral artery to retrieve the clots. caused by emboli from his AF. 79
