trash foot
Last reviewed 01/2018
This may occur as a complication of an interventional procedure e.g. aortic aneurysmal surgery, coronary catheterization. It is caused by the lodging of distal emboli that may cause infarction of the whole foot.
- trash foot - triad of thigh and foot pain, livedo reticularis, and intact peripheral pulses is considered to be pathognomonic for cholesterol embolisation
Diagnosis
- laboratory tests that may aid in the diagnosis of cholesterol emboli syndrome include eosinophilia, eosinophiluria, increased sedimentation rate, and decreased complement concentrations
Treatment:
- multiple treatment regimens have been generally unsuccessful in altering
the course of the disease process
- most significant impact on the disease can be made by its prevention
- thrombolytic and anticoagulant treatments are not indicated and only supportive care for such symptoms as hypertension, ulceration, and gangrene is advocated (1)
- amputation of affected lower limb may be necessary; an end-diastolic pneumatic boot has been used as an alternative to amputation (2)
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