In the case of acute limb ischaemia with poor inflow, what is the next step of management?

In the context of acute limb ischaemia with poor inflow, performing an iliac trawl is an appropriate management step because it aims to address the underlying issue of inadequate blood flow to the limb. Acute limb ischaemia often results from arterial occlusion due to embolism or thrombosis, which can lead to tissue necrosis if not managed promptly.

When there is poor inflow, it usually indicates that the primary source of the problem is not just localized within the limb but could involve the more proximal arteries, such as the iliac arteries. The iliac trawl procedure may involve vascular surgical techniques to restore adequate blood supply, either by addressing the inflow problem directly or by facilitating further interventions that could help to restore perfusion to the affected limb.

On the other hand, other interventions like embolectomy might be pursued in cases where there is a clear thrombus or embolus blocking flow, but if the inflow is poor due to more extensive vascular issues, it could be less effective. CT imaging may assist in diagnosing the extent of ischaemia or identifying occlusions, but it is not a direct management action and delays treatment. Immediate amputation is a last resort and is generally reserved for cases where tissue viability is