scholarly journals Endovascular treatment of upper extremity ischemia due to radiation-induced arteritis

2021 ◽  
Vol 49 (6) ◽  
pp. 506-508
Author(s):  
Fatih Yilmaz ◽  
◽  
Berhan Keskin ◽  
Zubeyde Bayram ◽  
Serdar Fidan ◽  
...  
2010 ◽  
Vol 24 (2) ◽  
pp. 257.e5-257.e8 ◽  
Author(s):  
Lee J. Goldstein ◽  
Joseph D. Ayers ◽  
Scott Hollenbeck ◽  
Jason A. Spector ◽  
Ageliki G. Vouyouka

F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 310 ◽  
Author(s):  
Taka-aki Nakada ◽  
Koji Idoguchi ◽  
Hiroshi Fukuma ◽  
Hidefumi Ono ◽  
Shota Nakao ◽  
...  

Subclavian arterial injury is rare and potentially life-threatening, particularly when it leads to arterial occlusion, causing limb ischemia, retrograde thromboembolization and cerebral infarction within hours after injury. Here we report a blunt trauma case with subclavian arterial injury, upper extremity ischemia, and the need for urgent treatment to salvage the limb and prevent cerebral infarction. A 41-year-old man had a left, open, mid-shaft clavicle fracture and left subclavian artery injury accompanied by a weak pulse in the left radial artery, decreased blood pressure of the left arm compared to the right, and left hand numbness. Urgent debridement and irrigation of the open clavicle fracture was followed by angiography for the subclavian artery injury. The left distal subclavian artery had a segmental dissection with a thrombus. Urgent endovascular treatment using a self-expanding nitinol stent successfully restored the blood flow and blood pressure to the left upper extremity. Endovascular treatment is a viable option for cases of subclavian artery injury where there is a risk of extremity ischemia and cerebral infarction.


2008 ◽  
Vol 32 (6) ◽  
pp. 1218-1218
Author(s):  
Majid Moini ◽  
Mohammad R. Rasouli

2020 ◽  
Vol 12 (4) ◽  
pp. 337-340
Author(s):  
Niki Tadayon ◽  
Sina Zarrintan ◽  
Seyed Mohammad Reza Kalantar-Motamedi

We report a case of 66-year-old woman with true aneurysm of the right brachial artery. She presented with acute upper extremity ischemia. The hand was cold and parenthesized and distal pulses were absent. CT angiography (CTA) revealed a 20*25 mm true brachial artery aneurysm. The aneurysm was thrombosed without distal run-off. We excised the aneurysm and reestablished the arterial flow by a reverse saphenous interposition graft. The postoperative course was uneventful.


1988 ◽  
Vol 8 (4) ◽  
pp. 410-414 ◽  
Author(s):  
Kenneth B. Seifert ◽  
William M. Blackshear ◽  
C.Wayne Cruse ◽  
John A. Schwartz ◽  
Frank Suslavitch

2011 ◽  
Vol 20 (8) ◽  
pp. 597-603 ◽  
Author(s):  
Akihiko Adachi ◽  
Eiichi Kobayashi ◽  
Yoshiyuki Watanabe ◽  
Tomoko Yoneyama-Sarnecky ◽  
Michihiro Hayasaka ◽  
...  

2019 ◽  
Vol 43 (2) ◽  
pp. 186-195 ◽  
Author(s):  
Max M. Meertens ◽  
Charlotte C. Lemmens ◽  
Gustavo S. Oderich ◽  
Geert W. H. Schurink ◽  
Barend M. E. Mees

Abstract Purpose The purpose of this study was to review the risk of developing cerebrovascular complications from upper extremity access during endovascular treatment of complex aortic aneurysms. Methods A systematic review and meta-analysis were conducted according to the PRISMA guideline. An electronic search of the public domains Medline (PubMed), Embase (Ovid), Web of Science and Cochrane Library was performed to identify studies related to the treatment of aortic aneurysms involving upper extremity access. Meta-analysis was used to compare the rate of cerebrovascular event after left, right and bilateral upper extremity access. Results are presented as relative risk (RR) and 95% confidence intervals (CIs). Results Thirteen studies including 1276 patients with complex endovascular treatment of aortic aneurysms using upper extremity access were included in the systematic review. Left upper extremity access (UEA) was used in 1028 procedures, right access in 148 and bilateral access in 100 procedures. The rate of cerebrovascular complications for patients treated through left UEA was 1.7%, through right UEA 4% and through bilateral UEA 5%. In the meta-analysis, we included seven studies involving 645 patients treated with a left upper extremity access, 87 patients through a right and 100 patients through a bilateral upper extremity access. Patients, who underwent right-sided (RR 5.01, 95% CI 1.51–16.58, P = 0.008) or bilateral UEA (RR 4.57, 95% CI 1.23–17.04, P = 0.02), had a significantly increased risk of cerebrovascular events compared to those who had a left-sided approach. Conclusion Left upper extremity access is associated with a significantly lower rate of cerebrovascular complications as compared to right or bilateral upper extremity access.


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