Acute Upper Extremity Arterial Occlusion Diagnosed on POCUS in the Emergency Department
Ocala Regional Medical Center
emergency medicine, point of care ultrasound, arterial embolism, brachial artery occlusion, embolectomy, upper extremity ischemia
Cardiovascular Diseases | Diagnosis | Emergency Medicine
Upper extremity acute limb ischemia (ALI) is a limb-threatening and potentially lethal pathology that is most commonly caused by vascular embolization. Outcomes of limb ischemia are time-sensitive due to the correlation between a longer time from symptom onset to intervention with a vastly higher risk of amputation. In this report, point of care ultrasound (POCUS) was utilized to rapidly diagnose a patient with a proximal right brachial artery embolic occlusion, prompting expedited surgical consultation and successful embolectomy. POCUS can provide a focused vascular examination of the limbs to expedite diagnosis of time-sensitive ALI and facilitate timely medical intervention and surgical consultation.
Publisher or Conference
Huang D, Ruzicka J, León L, Ganti L. Acute Upper Extremity Arterial Occlusion Diagnosed on POCUS in the Emergency Department. POCUS J. 2023;8(1):25-29. doi:10.24908/pocus.v8i1.15902