Salvage of severe ischemic lower limb having peak creatine phosphokinase level exceeding 200,000 IU/L treated by continuous hemodiafiltration

Ichiro Kashima, Koji Tsutsumi, Masahiko Okamoto

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We performed revascularization by an anti-anatomical bypass in a 40-year-old man with extended ischemia of both legs beyond 12 hr after onset because of traumatic aortic dissection. This patient developed myonephropathic metabolic syndrome, including renal and circulatory failure accompanied by a creatine phosphokinase level above 200,000 IU/L. Nevertheless, his bilateral affected limbs were salvaged by intensive care based on aggressive hemocatharsis with continuous hemodiafiltration with treatment for poor hemodynamics and respiratory distress.

Original languageEnglish
JournalAnnals of Vascular Surgery
Issue number7
Publication statusPublished - 2014 Oct 1
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

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