LETTER TO THE EDITOR
The waiting game: autoamputation of ischemic lower limbs in non-operative management
1
Department of Cardiothoracic and Vascular Surgery, Westpfalz Klinikum, Kaiserslautern, Germany
2
Department of General Surgery, General Hospital of Eastern Achaia – Unit of Aigio, Greece
3
Department of Vascular Surgery, General University Hospital of Patras, Greece
4
John Radcliffe Hospital Emergency Department, University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford, UK
5
Department of Oncology, General University Hospital of Patras, Greece
6
Department of Surgery, General Hospital of Lamia, Greece
7
Department of Surgery, Spital Herisau, Appenzell Ausserrhoden, Switzerland
Submission date: 2025-10-06
Final revision date: 2025-12-01
Acceptance date: 2025-12-27
Publication date: 2026-01-22
Arch Med Sci Atheroscler Dis 2026;11(1):12-16
TOPICS
REFERENCES (12)
1.
Wani AH, Mohsin M, Darzi MA, et al. An unusual case of frost bite autoamputation of toes. Cases J 2008; 1: 398.
2.
Mani UA, Ansari D, Bhot FB, Sada E, Ursekar R. Auto-amputation of an entire foot with ankle in a diabetic patient. Adv J Emerg Med 2019; 3: e47.
3.
Huang PH, Liao HT, Tsai CY. Severe Raynaud’s phenomenon and Sjögren’s syndrome with ferocious gangrene change and auto-amputation. Clin Med 2019; 19: 85.
4.
Al Wahbi A. Autoamputation of diabetic toe with dry gangrene: a myth or a fact? Diabetes Metab Syndr Obes 2018; 11: 255-64.
5.
Fikri R, Bicknell CD, Bloomfield LM, et al. Awaiting autoamputation: a primary management strategy for toe gangrene in diabetic foot disease. Diabetes Care 2011; 34: e134.
6.
Finkelstein B, Kamble R, Ferdinando E, Mobarakai N. Autoamputation of the foot caused by untreated gas gangrene: a case report. J Foot Ankle Surg 2003; 42: 366-70.
7.
Jesani S, Elkattawy S, Noori MAM, et al. Vasopressor-induced digital ischemia. Cureus 2021; 13: e16595.
8.
Levy JH, Ghadimi K, Faraoni D, et al. Ischemic limb necrosis in septic shock: what is the role of high-dose vasopressor therapy? J Thromb Haemost 2019; 17: 1973-8.
9.
Attallah N, Hassan E, Jama AB, et al. Management of vasopressor-induced acute limb ischemia (VIALI) in septic shock. Cureus 2022; 14: e33118.
10.
Elgzyri T, Apelqvist J, Lindholm E, Örneholm H, Annersten Gershater M. Healing below the ankle is possible in patients with diabetes mellitus and a forefoot gangrene. SAGE Open Med 2021; 9: 20503121211029180.
11.
Latz CA, Deluca E, Lella S, Waller HD, DeCarlo C, Dua A. Rates of conversion from dry to wet gangrene following lower extremity revascularization. Ann Vasc Surg 2022; 83: 20-5.
12.
Kwong M. Limb Loss after Vasopressor Use. 2023 Jun 28. In: WebM&M: Case Studies [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2019 Oct 30–. PMID: 40106619.
| eISSN: | 2451-0629 |
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