Iranian Heart Association Iranian Heart Journal 22 1 2021 01 01 Percutaneous Aspiration Thrombectomy in Acute Upper Limb Ischemia: A Case Report 117 124 120948 EN Eka Prasetya Budi Mulia Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Indonesia. 0000-0002-2681-7743 Ivana Purnama Dewi Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Indonesia. 0000-0002-1602-3384 Rerdin Julario Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Indonesia. 0000-0002-7201-2460 Mohammad Budiarto Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Indonesia. 0000-0001-7785-8177 Journal Article 2020 05 11 <strong><em>Introduction:</em></strong>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. <strong> </strong> <strong><em>Case Presentation:</em></strong>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.   <strong><em>Discussion:</em></strong> 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.   <strong><em>Conclusions:</em></strong>AULI is a limb- and life-threatening condition. PAT can be an option for vasculature recanalization in upper limb extremities. <strong><em>(Iranian Heart Journal 2021; 22(1): </em></strong><strong><em>1</em></strong><strong><em>17-124)</em></strong> https://journal.iha.org.ir/article_120948_bd413e0b093307ff6f515bf6ac5b72e6.pdf