Left Subclavian Artery Occlusion: Femoro-Axillary Artery Retrograde Bypass
نویسندگان
چکیده
The treatment tactics for subclavian artery occlusion include the more commonly used endovascular therapy rather than surgical intervention. We present a case of a 61-year-old woman with dialysis-dependent chronic renal failure who experienced left finger necrosis in the left upper extremity. To salvage the limb, we performed femoro-axillary (fem-ax) artery bypass using an autologous saphenous vein graft. However, 10 months later, she experienced coldness in the left forearm. Angiography revealed chronic total occlusion of the venous bypass. Despite emergent thrombectomy, redo fem-ax artery bypass operation was performed using a prosthetic graft. Upper limb salvage can be achieved by fem-ax artery retrograde bypass.
منابع مشابه
[Subclavian steal syndrome. Bypass surgery or percutaneous transluminal angioplasty].
The authors are presenting two patients with subclavian steal syndrome successfully treated by axillo-axillary bypass or by percutaneous transluminal angioplasty, and discuss the choice of procedures for the correction of the subclavian steal syndrome. The first patient was a 48-year-old man complaining of easy fatiguability of the right arm and ver tigo. No neurological abnormality was found, ...
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