Clinical features |
Embolus |
Thrombosis |
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Severity |
Complete (no collaterals) |
Incomplete (collaterals) |
Onset |
Seconds or minutes |
Hours or days |
Limb affected |
Leg 3:1 arm |
Leg 10:1 arm |
Multiple sites |
Up to 15% |
Rare |
Embolic source |
Present (usually atrial fibrillation) |
Absent |
Previous claudication |
Absent |
Present |
Palpation of artery |
Soft, tender |
Hard, calcified |
Bruits |
Absent |
Present |
Contralateral leg pulses |
Present |
Absent |
Diagnosis |
Clinical |
Angiography |
Treatment |
Embolectomy, warfarin |
Medical, bypass, thrombolysis |
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