Excruciating chest pain, intrascapular pain, HTN, CHF, hemiplegia, anuria or hematuria, acute intestinal ischemia can occur commonly assoc with aortic dissection. On foot elevation when pressed against examiner's hand for 25 sec. TCP O2 measures transcutaneous oxygen tension. To evaluate cardiac function in pts with IC, persantine thalliumcan be performed. Invasive study is Arteriography which is the gold standard and is performed before revascularization.
Thormobotic occlusion is managed with anticoagulation followed by arteriography.
May require thrombolytic or revascularization surgery. Embolic Ischemia requires anticoagulation. In advanced stage, you have to consider amputation because revascularization can result in high mortality from reperfusion syndrome. Conservative mgmt of chronic arterial occlusion includes Pt's education. I would instruct pt on importance of protection from trauma because most amputations in persons with arterial occlusive disease result from some type of trauma.