Saturday, April 19, 2014

Arterial embolism

Table of Contents

Symptoms

Symptoms may begin quickly or slowly depending on the size of the embolus and how much it blocks the blood flow.

Symptoms of an arterial embolism in the arms or legs may include:

  • Cold arm or leg
  • Decreased or no pulse in an arm or leg
  • Fingers or hands feel cool
  • Lack of movement in the arm or leg
  • Muscle pain in the affected area
  • Muscle spasm in the affected area
  • Numbness and tingling in the arm or leg
  • Pale color of the arm or leg (pallor)
  • Weakness of an arm or leg

Later symptoms:

  • Blisters of the skin fed by the affected artery
  • Shedding (sloughing) of skin
  • Skin erosion (ulcer)
  • Tissue death (necrosis; skin is dark and damaged)

Symptoms of a clot in an organ vary with the organ involved but may include:

  • Pain in the part of the body that is involved
  • Temporarily decreased organ function

Signs and tests

The health care provider may find decreased or no pulse, and decreased or no blood pressure in the arm or leg. There may be signs of tissue death or gangrene.

Tests to diagnose arterial embolism or reveal the source of emboli may include:

  • Angiography of the affected extremity or organ
  • Doppler ultrasound exam of an extremity
  • Duplex Doppler ultrasound exam of extremity
  • Echocardiogram
  • MRI
  • Myocardial contrast echocardiography (MCE)
  • Plethysmography
  • Transcranial Doppler exam of arteries to the brain
  • Transesophageal echocardiography (TEE)

This disease may also affect the results of the following tests:

  • Euglobulin lysis time (ELT)
  • Factor VIII assay
  • Isotope study of the affected organ
  • Plasminogen activator inhibitor-1 (PAI-1) activity
  • Platelet aggregation test
  • Tissue-type plasminogen activator (t-PA) levels


Review Date: 06/01/2010
Reviewed By: Issam Mikati, MD, Associate Professor of Medicine, Feinberg School of Medicine, Director, Northwestern Clinic Echocardiography Lab, Northwestern University, Chicago, IL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)