Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Indonesia.
Abstract
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)
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Mulia, E., Dewi, I., Julario, R., & Budiarto, M. (2021). Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report. Iranian Heart Journal, 22(1), 117-124.
MLA
Eka Prasetya Budi Mulia; Ivana Purnama Dewi; Rerdin Julario; Mohammad Budiarto. "Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report". Iranian Heart Journal, 22, 1, 2021, 117-124.
HARVARD
Mulia, E., Dewi, I., Julario, R., Budiarto, M. (2021). 'Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report', Iranian Heart Journal, 22(1), pp. 117-124.
VANCOUVER
Mulia, E., Dewi, I., Julario, R., Budiarto, M. Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report. Iranian Heart Journal, 2021; 22(1): 117-124.
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