id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-11930	AlMadhwahi, Nabil; Al-Hanash, Sallam; Barat, Ali; Alshujaa, Mohammed; Najran, Mohammed; Fadhel, Ali; Al-Jammal, Eman; Ahmed, Faisal; Altam, Abdulfattah; Badheeb, Mohammed	Acute limb ischemia due to left brachial artery occlusion in a 40-year-old female patient: a case report	2024	4	.pdf	application/pdf	2937	136	41	The Rutherford classification has been extensively uti- lized in assessing the risk for ALI, categorizing it as viable (class I), threatened (class II), marginally threatened (IIa), immediately threatened (IIb), and irreversible (class III) based on vascular exam, Doppler US findings, and sensorimotor deficits.7 Overall, ALI represents a consequence of an underlying etiol- ogy, typically a cardio-embolic phenomenon, which is reported in up to 60% of patients.2 This manifestation is particularly prevalent among elderly individuals suffering from atrial fibrillation, which constitutes approximately 80% of cardioembolic etiologies, in conjunction with valvular heart disease or prior ischemic heart dis- ease that leads to cardiac wall motion abnormalities.5 Additionally, atherosclerotic disease, aneurysmal formations, traumatic injuries, and previous vascular interventions are known contributing factors for ALI in the upper limbs.5 Previous reports have shown inconsistencies in the most com- monly involved artery in upper limb ALI, with some reports observing a higher incidence of brachial artery occlusion.3 Nevertheless, most of these cases were reported in patients with existing cardiac arrhythmias, atherosclerotic disease, prior trauma, or coronary or vascular interventions.1,8 This method has been extensively employed as a primary treatment for upper limb ALI and was performed on our patient, who was categorized as immediately threatened (IIb), necessitat- ing urgent surgical intervention.4 Alternative approaches include catheter-directed thrombolysis.	cache/ecj-11930.pdf	txt/ecj-11930.txt