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March 5, 2026Journal of Hand Surgery (European Volume)0 citations

Management of neonatal limb ischaemia: experience from a UK tertiary children’s hospital

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INIbrahim NatalwalaIKIngrid KieranCKChiraag Thakrar Karia

Key Points

  • The research aims to identify effective management strategies for neonatal limb ischaemia (NLI).
  • Review of cases managed at a UK tertiary children's hospital
  • Assessment of treatment outcomes following anticoagulation and adjunctive therapies
  • Development of a treatment algorithm for clinical decision-making
  • Most NLI cases were successfully managed with anticoagulation
  • Higher-risk neonates required interventions like thrombolysis or surgery when collateral circulation was poor
  • Early involvement of a multidisciplinary team improved patient outcomes

Abstract

Most cases of NLI can be managed successfully with prompt anticoagulation and adjunctive therapy. Neonates with occlusive arterial thrombosis and poor collateral circulation represent the highest-risk group and may require escalation to thrombolysis or surgery. Early multidisciplinary involvement is essential. An evidence-based treatment algorithm is presented to support clinical decision-making.

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Cite This Study

Natalwala et al. (2026) studied this question.

synapsesocial.com/papers/69a91dedd6127c7a504c1546https://doi.org/10.1177/17531934261417615
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