Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report

Document Type : Case Report

Authors

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)

Keywords


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