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4 . 2021

Hybrid method in treatment of rethrombosis of the arteries of the upper extremity

Abstract

The choice of treatment for acute ischemia of the upper limb is an actual problem. In case of thrombotic origin of acute occlusions, which occurs in 5% of cases, the success of surgical treatment depends on timely diagnostics, of nature and localization of arterial lesions.

 

The article describes a case report of the successful treatment of the arterial rethrombosis of the left upper limb with a hybrid method. The patient was admitted with acute ischemia of the left upper limb. Previously a thrombectomy was performed from the left axillar, left brachial artery and left forearm arteries. Angiography showed: hemodynamically significant 80% stenosis of the left subclavian artery, occlusion between the middle and the distal third of the brachial artery and the absence of flow in the forearm arteries. Three-stage surgery was performed in the hybrid operation room: stenting of the left subclavian artery, thrombectomy from the left brachial artery and forearm arteries, balloon angioplasty of the forearm arteries. CT-angiography performed after the surgery, confirmed the restore of the blood flow at all levels. The patient was discharged at the 7th day after the operation with the compensated circulation in the left upper limb.

Thus, the possibility of providing emergency surgical care in a hybrid operating room for acute upper limb ischemia caused by thrombosis has been demonstrated.

Keywords:hybrid surgery, retrombosis of the upper limb arteries, acute ischemia of the upper limb, reoperation, atherosclerosis of the upper limb arteries, hybrid operating room

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Mikhaylov I.P., Isaev G.A., Demjanov A.M., Kozlovskij B.V., Arustamjan V.A., Matveev P.D., Parhomenko M.V., Taibova E.Z. Hybrid method in treatment of rethrombosis of the arteries of the upper extremity. Clinical and Experimental Surgery. Petrovsky Journal. 2021; 9 (4): 65-9. DOI: https://doi.org/10.33029/2308-1198-2021-9-4-65-69 (in Russian) 

References

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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