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

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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Publication Details

Journal
Journal of Hand Surgery (European Volume)
Published
2026-03-02
DOI
https://doi.org/10.1177/17531934261417615
Primary Topic
Blood Coagulation and Thrombosis Mechanisms
Type
article
Field-Weighted Citation Impact
0.00
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article

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

Ibrahim Natalwala, Liz McKechnie, Ingrid Kieran, Chiraag Thakrar Karia et al.
Journal of Hand Surgery (European Volume)
Blood Coagulation and Thrombosis Mechanisms
article

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

Ibrahim Natalwala, Liz McKechnie, Ingrid Kieran, Chiraag Thakrar Karia, Waseem Bhat, Robert Bains, Simon Kay, George Lane, Michael Richards
article en

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.

Journal of Hand Surgery (European Volume)
Leeds General Infirmary (GB), University of Leeds (GB), Great North Children's Hospital (GB)
Openalex Percentile: Top 36%
Blood Coagulation and Thrombosis Mechanisms
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