%0 Journal Article %T Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report %J Iranian Heart Journal %I Iranian Heart Association %Z %A Mulia, Eka Prasetya Budi %A Dewi, Ivana Purnama %A Julario, Rerdin %A Budiarto, Mohammad %D 2021 %\ 01/01/2021 %V 22 %N 1 %P 117-124 %! Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report %K Acute upper limb ischemia %K Ali %K Percutaneous aspiration thrombectomy %K Thrombus %K Technique %R %X Introduction:Acute upper limb ischemia (AULI) is an unusual presentation of limb-threatening emergency. Only a few cases of percutaneous thrombectomy in AULI have been published.   Case Presentation:A 55-year-old woman presented with sudden burning pains in the right hand of 11 hours’ duration. Duplex ultrasound identified a thrombus along the proximal brachial artery to the distal radial artery. Arteriography revealed total occlusion in the proximal brachial artery. Transfemoral percutaneous aspiration thrombectomy (PAT) with the result of a red thrombus was subsequently performed. Successful recanalization with a flow from the brachial artery to the distal radial artery was obtained after PAT. Unfortunately, the patient died from septic shock and respiratory failure 4 days later.   Discussion: Successful PAT on the right brachial artery was performed in our case with the prior procedural identification of the occluded artery using duplex ultrasound and angiography.   Conclusions:AULI is a limb- and life-threatening condition. PAT can be an option for vasculature recanalization in upper limb extremities. (Iranian Heart Journal 2021; 22(1): 117-124) %U http://journal.iha.org.ir/article_120948_7445b23df68d6f85f7034b5607e236d2.pdf