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Emergency vascular radiology

Sheffield Vascular Institute, Northern General Hospital, Sheffield S5 7AU, UK

• Acute lower limb ischaemia is a common clinical problem, with thrombolysis required in a small percentage of cases.
  
• Indications for thrombolysis largely depend upon clinical assessment.
  
• Thrombolysis combined with adjuvant procedures achieves limb salvage in 70–80% of cases.
  
• The death rate following thrombolysis is approximately 5–15% and is particularly high in the elderly.
  
• Most cases requiring thrombolysis can be managed during the day.
  
• The vast majority of patients with upper GI haemorrhage are best investigated and managed by the endoscopist and surgeon.
  
• All cases of acute lower GI haemorrhage should undergo upper GI endoscopy.
  
• Angiography is best performed at the time of acute haemorrhage, therefore an emergency service should be provided.
  
• Mesenteric embolisation is a developing therapeutic option.
  

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				Answers to multiple-choice questionnaire: Emergency radiology [from Imaging 13(2)] Imaging, December 1, 2001; 13(4): 327 - 330. [Full Text] [PDF]