1st April 2022

A 70-year-old man presents with 8 hours of left leg pain and paralysis

A 70-year-old man presents with 8 hours of left leg pain and paralysis. Last year, he had an above the knee amputation of his right lower limb following a similar presentation. He also has a history of type 2 diabetes and takes metformin and atorvastatin.

On examination, his left leg appears mottled. It is cold and insensate to crude touch and skin prick. A handheld doppler reveals no arterial or venous signal distal to his left thigh.

What is the appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.