{"id":"https://openalex.org/W7214355017","doi":"https://doi.org/10.7759/cureus.116882","title":"Beyond the Threatened Limb: Acute Limb Ischemia as a Diagnostic Attractor","display_name":"Beyond the Threatened Limb: Acute Limb Ischemia as a Diagnostic Attractor","publication_year":2026,"publication_date":"2026-09-24","ids":{"openalex":"https://openalex.org/W7214355017","doi":"https://doi.org/10.7759/cureus.116882","pmid":"https://pubmed.ncbi.nlm.nih.gov/42928744","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13695695"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.116882","doi":"https://doi.org/10.7759/cureus.116882","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116882","pdf_url":"https://www.cureus.com/articles/522352-beyond-the-threatened-limb-acute-limb-ischemia-as-a-diagnostic-attractor.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/522352-beyond-the-threatened-limb-acute-limb-ischemia-as-a-diagnostic-attractor.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5152920684","display_name":"Antoine Smith","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Antoine Smith","raw_affiliation_strings":["Emergency Department, Centre Hospitalier R\u00e9gional Sambre et Meuse, Sambreville, BEL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, Centre Hospitalier R\u00e9gional Sambre et Meuse, Sambreville, BEL","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5152804245","display_name":"Soheil Zahir","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Soheil Zahir","raw_affiliation_strings":["Emergency Department, Centre Hospitalier R\u00e9gional Sambre et Meuse, Sambreville, BEL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency Department, Centre Hospitalier R\u00e9gional Sambre et Meuse, Sambreville, BEL","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5152920684"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.72872546,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e116882","last_page":"e116882"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10926","display_name":"Peripheral Artery Disease Management","score":0.8999000191688538,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10926","display_name":"Peripheral Artery Disease Management","score":0.8999000191688538,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.061799999326467514,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13657","display_name":"Aortic Thrombus and Embolism","score":0.007400000002235174,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-limb-ischemia","display_name":"acute limb ischemia","score":1.0},{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":0.6399999856948853},{"id":"https://openalex.org/keywords/superficial-femoral-artery-stenosis","display_name":"superficial femoral artery stenosis","score":0.9179999828338623},{"id":"https://openalex.org/keywords/popliteal-artery-occlusion","display_name":"popliteal artery occlusion","score":0.9660000205039978},{"id":"https://openalex.org/keywords/stent-graft","display_name":"covered stent","score":0.6420000195503235},{"id":"https://openalex.org/keywords/anticoagulation","display_name":"anticoagulation","score":0.652999997138977},{"id":"https://openalex.org/keywords/goals-of-care","display_name":"goals of care","score":0.703000009059906},{"id":"https://openalex.org/keywords/elderly-cancer-patients","display_name":"elderly cancer patients","score":0.5540000200271606},{"id":"https://openalex.org/keywords/lower-limb-claudication","display_name":"lower limb claudication","score":0.5580000281333923},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.38199999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9603000283241272},{"id":"https://openalex.org/C24518262","wikidata":"https://www.wikidata.org/wiki/Q16197023","display_name":"Threatened species","level":3,"score":0.6498000025749207},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6089000105857849},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5347999930381775},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.5304999947547913},{"id":"https://openalex.org/C3018458959","wikidata":"https://www.wikidata.org/wiki/Q3155223","display_name":"Limb ischemia","level":3,"score":0.3686000108718872},{"id":"https://openalex.org/C2781099653","wikidata":"https://www.wikidata.org/wiki/Q7316059","display_name":"Critical limb ischemia","level":4,"score":0.3431999981403351},{"id":"https://openalex.org/C164380108","wikidata":"https://www.wikidata.org/wiki/Q507187","display_name":"Attractor","level":2,"score":0.34049999713897705},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3131999969482422},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.2791999876499176},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.2572000026702881}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.116882","doi":"https://doi.org/10.7759/cureus.116882","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116882","pdf_url":"https://www.cureus.com/articles/522352-beyond-the-threatened-limb-acute-limb-ischemia-as-a-diagnostic-attractor.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13695695","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42928744/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13695695/pdf/cureus-0018-00000116882.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42928744","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42928744","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.116882","doi":"https://doi.org/10.7759/cureus.116882","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.116882","pdf_url":"https://www.cureus.com/articles/522352-beyond-the-threatened-limb-acute-limb-ischemia-as-a-diagnostic-attractor.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214355017.pdf","grobid_xml":"https://content.openalex.org/works/W7214355017.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1967291734","https://openalex.org/W2019286098","https://openalex.org/W2046913611","https://openalex.org/W2140357023","https://openalex.org/W2147782722","https://openalex.org/W2150835094","https://openalex.org/W2153714927","https://openalex.org/W2168490582","https://openalex.org/W2808800848","https://openalex.org/W2888543854","https://openalex.org/W2906175764","https://openalex.org/W2967915108","https://openalex.org/W2997939766","https://openalex.org/W3082188176","https://openalex.org/W3163800939","https://openalex.org/W3193598686","https://openalex.org/W4232932258","https://openalex.org/W4293217929","https://openalex.org/W4412643318"],"related_works":["https://openalex.org/W1754724479","https://openalex.org/W3097375531","https://openalex.org/W6902198948","https://openalex.org/W2912257633","https://openalex.org/W1989450428","https://openalex.org/W7214746841","https://openalex.org/W4283711928","https://openalex.org/W2625030087","https://openalex.org/W4387345300","https://openalex.org/W3186121283"],"abstract_inverted_index":{"Acute":[0],"limb":[1,19,65,89],"ischemia":[2],"is":[3,35,291],"a":[4,22,25,98,161,182,262,275,297],"time-sensitive":[5],"vascular":[6,238,264],"emergency,":[7],"but":[8,186,289],"in":[9,218],"older":[10],"patients":[11],"with":[12,42,58,85,211,227],"active":[13],"cancer":[14],"and":[15,50,73,76,121,126,150,209,230,252,285],"multimorbidity,":[16],"the":[17,172,215,219,244],"threatened":[18],"can":[20],"become":[21],"diagnostic":[23],"attractor:":[24],"correct":[26,263],"specialized":[27],"diagnosis":[28,265],"that":[29,261,274],"narrows":[30],"attention":[31,281],"before":[32],"whole-patient":[33],"physiology":[34,284],"integrated.":[36],"We":[37,272],"report":[38],"an":[39,154,292],"81-year-old":[40],"man":[41],"metastatic":[43],"cecal":[44],"adenocarcinoma":[45],"receiving":[46],"folinic":[47],"acid,":[48],"fluorouracil,":[49],"oxaliplatin":[51],"(FOLFOX)":[52],"who":[53],"presented":[54],"on":[55,195,203,224,249,255],"day":[56,159,196,204,225,250,256],"one":[57,197],"three":[59,205],"days":[60],"of":[61,287],"progressive":[62],"left":[63],"lower":[64],"claudication,":[66],"coldness,":[67],"discoloration,":[68],"absent":[69],"pulses,":[70],"preserved":[71],"motor":[72],"sensory":[74],"function,":[75],"no":[77,212],"rest":[78],"pain.":[79],"The":[80,178],"presentation":[81],"was":[82,169,198,240],"clinically":[83],"compatible":[84],"Rutherford":[86],"I-IIa":[87],"acute":[88],"ischemia;":[90],"bedside":[91],"Doppler":[92],"signals":[93],"were":[94],"not":[95,199,267],"documented,":[96],"precluding":[97],"definitive":[99],"retrospective":[100],"distinction":[101],"between":[102],"these":[103],"categories.":[104],"Concurrent":[105],"findings":[106],"included":[107,206],"new":[108],"atrial":[109],"fibrillation,":[110],"basal":[111],"crackles,":[112],"peripheral":[113],"edema,":[114],"markedly":[115],"elevated":[116],"N-terminal":[117],"pro-B-type":[118],"natriuretic":[119],"peptide":[120],"troponin,":[122],"bilateral":[123],"pleural":[124],"effusions,":[125],"radiological":[127],"concern":[128],"for":[129,214],"low":[130],"cardiac":[131],"output.":[132],"Computed":[133],"tomography":[134],"angiography":[135],"(CTA)":[136],"showed":[137],"severe":[138],"distal":[139,148,173,187],"superficial":[140,174],"femoral":[141,175],"artery":[142,176],"stenosis,":[143],"long":[144],"popliteal":[145],"occlusion,":[146],"slow":[147],"flow,":[149],"limited":[151],"runoff,":[152],"favoring":[153],"acute-on-chronic":[155],"ischemic":[156],"process.":[157],"On":[158],"two,":[160],"6":[162],"mm":[163,166],"x":[164],"60":[165],"covered":[167],"stent":[168],"placed":[170],"across":[171],"lesion.":[177],"treated":[179],"lesion":[180],"had":[181],"satisfactory":[183],"technical":[184],"result,":[185],"runoff":[188],"remained":[189],"severely":[190],"compromised.":[191],"Therapeutic":[192],"anticoagulation":[193],"initiated":[194],"maintained;":[200],"discharge":[201],"treatment":[202],"prophylactic-dose":[207],"enoxaparin":[208],"aspirin,":[210],"rationale":[213],"change":[216],"documented":[217],"available":[220,241],"record.":[221],"He":[222],"returned":[223],"five":[226],"recurrent":[228],"coldness":[229],"toe":[231],"necrosis":[232],"despite":[233],"normal":[234],"lactate.":[235],"No":[236],"repeat":[237],"imaging":[239],"to":[242,282],"define":[243],"mechanism.":[245],"Care":[246],"became":[247],"palliative":[248],"13,":[251],"he":[253],"died":[254],"58.":[257],"This":[258],"case":[259],"illustrates":[260],"should":[266],"terminate":[268],"integrative":[269],"emergency":[270],"reasoning.":[271],"propose":[273],"vascular-plus-physiology":[276],"cross-check":[277],"may":[278],"help":[279],"preserve":[280],"systemic":[283],"goals":[286],"care,":[288],"it":[290],"educational":[293],"framework":[294],"rather":[295],"than":[296],"validated":[298],"clinical":[299],"algorithm.":[300]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-26T00:00:00"}
