RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0042-1758528
Endovascular Management of Two Uncommon Cases of Acute Upper Limb Ischemia in Young
Funding None.
Abstract
Acute upper limb ischemia accounts for less than 5% of all cases of limb ischemia. The etiology in young individuals are usually traumatic. Other non-traumatic causes are rarely seen and here we present two such cases in young, presenting with acute upper limb ischemia. The choice between a surgical or a minimally invasive endovascular approach remains unclear. Endovascular approach to management, although based on expertise, offers good post procedural outcome, comparable to post-surgical outcomes. Here we present two cases of thrombotic occlusion of the upper extremity following trauma and arterial thoracic outlet syndrome respectively managed successfully with endovascular approach.
Keywords
upper limb ischemia - peripheral angioplasty - cervical rib - post-traumatic brachial artery thrombosis - in-graft stenosisNote
This paper is not under consideration elsewhere. None of the paper's content has been published previously. All authors have read and approved the manuscript.
Publikationsverlauf
Artikel online veröffentlicht:
30. Dezember 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 McCarthy WJ, Flinn WR, Yao JS, Williams LR, Bergan JJ. Result of bypass grafting for upper limb ischemia. J Vasc Surg 1986; 3 (05) 741-746
- 2 Alef MJ, Hamdan A. Upper extremity arterial disease: general considerations. In: Rutherford RB. ed. Vascular surgery. 8th ed.. Philadelphia: Elsevier Saunders; 2014: 1868-1874
- 3 Miller-Thomas MM, West OC, Cohen AM. Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls. Radiographics 2005; 25 (Suppl. 01) S133-S142
- 4 Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg 2007; 46 (03) 601-604
- 5 Hussain MA, Aljabri B, Al-Omran M. Vascular thoracic outlet syndrome. Semin Thorac Cardiovasc Surg 2016; 28 (01) 151-157
- 6 Desai SS, DuBose JJ, Parham CS. et al. Outcomes after endovascular repair of arterial trauma. J Vasc Surg 2014; 60 (05) 1309-1314
- 7 Ganapathy A, Khouqeer AF, Todd SR, Mills JL, Gilani R. Endovascular management for peripheral arterial trauma: the new norm?. Injury 2017; 48 (05) 1025-1030
- 8 Maskanakis A, Patelis N, Moris D. et al. Stenting of subclavian artery true and false aneurysms: a systematic review. Ann Vasc Surg 2018; 47: 291-304
- 9 Cheun TJ, Jayakumar L, Sheehan MK, Sideman MJ, Pounds LL, Davies MG. Outcomes of upper extremity interventions for chronic critical ischemia. J Vasc Surg 2019; 69 (01) 120-128.e2
- 10 Abu Dabrh AM, Steffen MW, Asi N. et al. Bypass surgery versus endovascular interventions in severe or critical limb ischemia. J Vasc Surg 2016; 63 (01) 244-53.e11