Recognition and treatment of arterial insufficiency from Cafergot

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Presentation transcript:

Recognition and treatment of arterial insufficiency from Cafergot Karen E. Wells, M.D., David L. Steed, M.D., Albert B. Zajko, M.D., Marshall W. Webster, M.D. Journal of Vascular Surgery Volume 4, Issue 1, Pages 8-15 (July 1986) DOI: 10.1016/0741-5214(86)90316-2 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Case 1: Arteriogram of normal aortoiliac system. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Case 1: Spasm of left distal superficial femoral/proximal popliteal artery (arrow). Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Arteriogram demonstrates a 3 cm segmental stenosis of proximal left popliteal artery shown at site of arrowin Fig. 2.. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Case 1: On repeat arteriogram 3 days after arteriogram shown in Fig. 2, left popliteal artery was unchanged, but there was now a threadlike narrowing distally. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 After balloon angioplasty, dilated popliteal artery is patent with new spasm present above and below site of dilatation. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Arteriogram shows spasm of external iliac arteries bilaterally. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Case 2: Arteriogram with bilateral and symmetrical spasm of common and superficial femoral arteries. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 8 Case 2: Arterial insufficiency with subsequent gangrene in patient using Cafergot. Journal of Vascular Surgery 1986 4, 8-15DOI: (10.1016/0741-5214(86)90316-2) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions