Peripheral microembolism is one of the most frequent causes of acute limb ischemia. Pawlaczyk, Katarzyna Gabriel, Marcin Strzelecka-WÄ™klar, Daria A KrasiÅ„ski, Zbigniew Stanisic, Michal Gabriel, Zofia Dzieciuchowicz, Åukasz Adamski, Zygmunt The usefulness of Duplex Doppler ultrasound in the angiological and dermatological diagnosis of patients with blue toe syndrome. Under full-dose intravenous anticoagulation with unfractionated heparin that was switched to oral anticoagulation with vitamin K antagonists (target INR: 2-3) and conservative management of the blue toe the patient made a gradual, but eventually complete clinical recovery over 8 weeks. Further work-up by means of contrast-enhanced MR-A and conventional DSA confirmed a moderate stenosis of the popliteal artery compatible with focal dissection and excluded other causes such as popliteal artery entrapment syndrome. The diagnosis was primarily made by high-resolution duplex ultrasound that revealed a dissection flap (length: 15.5 mm thickness: 0.4 mm) together with the partially thrombosed false lumen at the dorsal wall of the left popliteal artery (degree of local diameter reduction: 56%). We report a case of a spontaneous dissection of a nonaneurysmal popliteal artery in an otherwise healthy 36-year-old man that came to clinical attention as an acute blue toe syndrome.

Spontaneous arterial dissection in peripheral arteries of the extremities is an extremely rare event. KÃ¼gler, C F A Poser, M Mosel, F Ruehm, S Rudofsky, G Spontaneous dissection of the popliteal artery in a young man.

Irisskin 3.66 crack