"Blue toe" syndrome. An indication for limb salvage surgery
A. M. Karmody, S. R. Powers, V. J. Monaco and R. P. Leather
We describe 31 patients in whom proximal lesions in the arterial tree were
identified as probable sources of emboli causing the "blue toe" syndrome.
This syndrome consists of acute digital ischemia caused by
microembolization to the digital arteries from a proximal source via a
patent arterial tree, as evidenced by an otherwise well-perfused foot. It
is closely analogous to the transient ischemic attacks of the brain, and
carries the same potential for serious tissue loss because of repeated
embolic showers. The prompt delineation and eradication of the embolic
source is of prime importance, in addition to restoration of arterial
continuity. Along with the other well-known features of chronic severe
ischemia, that is, rest pain, gangrene, etc, the "blue toe" syndrome is
therefore an indication for limb salvage surgery.
Angioplasty with Stenting Is Effective in Treating Blue Toe Syndrome
Renshaw et al.
VASC ENDOVASCULAR SURG 2002;36:155-159.
ABSTRACT
Diagnosis and treatment of chronic lower extremity ischemia
Sanchez and Veith
Vasc Med 1998;3:291-299.
ABSTRACT
Diagnosis and Treatment of Chronic Arterial Insufficiency of the Lower Extremities: A Critical Review
Weitz et al.
Circulation 1996;94:3026-3049.
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Surgical Treatment of Systemic Atheroembolism From the Thoracic Aorta
Bojar et al.
Ann. Thorac. Surg. 1996;61:1389-1393.
ABSTRACT
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Intra-Aortic Mural Thrombi and Recurrent Embolism
Ombrellarq and Perry
PERSPECT VASC SURG ENDOVASC THER 1995;8:82-90.
Reversal of Gangrenous Lesions in the Blue Toe Syndrome with Lovastatin A Case Report
Cabili et al.
ANGIOLOGY 1993;44:821-825.
ABSTRACT
The "Blue Toe" Syndrome with Renal Atheroembolism and Failure
Zatuchni et al.
ANGIOLOGY 1985;36:209-214.
ABSTRACT
The Blue Toe Syndrome: Diagnostic and Therapeutic Considerations
Satinsky and Kline
VASC ENDOVASCULAR SURG 1981;15:279-286.
