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{
    "pk": 20330,
    "title": "A Man with Sudden Onset Leg Pain and Weakness",
    "subtitle": null,
    "abstract": "<p><strong>Case Presentation:</strong> An 89-year-old male who had been holding dabigatran in the setting of transcarotid artery revascularization presented to the emergency department with sudden onset leg pain and weakness. Computed tomography angiography revealed acute aortic occlusion and thrombosis of the bilateral common iliac arteries. He underwent aortoiliac and femoral embolectomies and stenting of the bilateral common iliac arteries and returned to his baseline functional status.  </p>\n<p><strong>Discussion: </strong>Acute aortic occlusion is a rare but often devastating vascular emergency characterized by obstruction of the aorta by an embolus or thrombosis. Diagnosis can be challenging as it may be mistaken for spinal pathology, which can lead to delays in diagnosis. Despite advances in diagnostic modalities and interventions, acute aortic occlusion often results in high rates of major morbidity and mortality.</p>\n<p class=\"MsoNormal\"> </p>\n<p class=\"MsoNormal\"> </p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "embolism"
        },
        {
            "word": "Aortic Occlusion"
        },
        {
            "word": "embolectomy"
        },
        {
            "word": "Thrombosis"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9s35c82z",
    "frozenauthors": [
        {
            "first_name": "James",
            "middle_name": "",
            "last_name": "DeChiara",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Joint Base Lewis-McChord, Washington",
            "department": ""
        },
        {
            "first_name": "Lisa",
            "middle_name": "",
            "last_name": "Skinner",
            "name_suffix": "",
            "institution": "Providence St. Peter Hospital, Olympia, Washington",
            "department": ""
        }
    ],
    "date_submitted": "2024-03-12T19:28:46.392000Z",
    "date_accepted": "2024-06-10T21:39:17.956000Z",
    "date_published": "2024-08-26T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/20330/galley/30164/download/"
        }
    ]
}