Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia
Acute limb ischemia is a critical vascular emergency often resulting from embolic sources, requiring prompt intervention to prevent significant morbidity and mortality. This paper presents a case of a 74-year-old female with acute limb ischemia due to a thromboembolus in the distal brachial artery a...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002594 |
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| author | Rachel Bernardo, BS Hamda Almaazmi, MD Shawn Sarin, MD, MBA Salim Lala, MD, MBA, FACS, FRCSI |
| author_facet | Rachel Bernardo, BS Hamda Almaazmi, MD Shawn Sarin, MD, MBA Salim Lala, MD, MBA, FACS, FRCSI |
| author_sort | Rachel Bernardo, BS |
| collection | DOAJ |
| description | Acute limb ischemia is a critical vascular emergency often resulting from embolic sources, requiring prompt intervention to prevent significant morbidity and mortality. This paper presents a case of a 74-year-old female with acute limb ischemia due to a thromboembolus in the distal brachial artery and a nonocclusive mobile thrombus in the innominate artery. The patient underwent urgent brachial artery thromboembolectomy and subsequent retrograde innominate artery stenting via right open transcarotid approach. The retrograde approach was chosen to minimize stroke risk associated with embolization. The successful resolution of the arterial thrombus and restoration of arterial patency underscore the importance of individualized management strategies in complex vascular emergencies. |
| format | Article |
| id | doaj-art-d154f63e8cff41bf9c23e2ba631c19a8 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-d154f63e8cff41bf9c23e2ba631c19a82025-01-20T04:17:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101675Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemiaRachel Bernardo, BS0Hamda Almaazmi, MD1Shawn Sarin, MD, MBA2Salim Lala, MD, MBA, FACS, FRCSI3The George Washington University School of Medicine and Health Sciences, Washington, DCDepartment of Surgery, George Washington University Hospital, Washington, DCDepartment of Radiology, George Washington University Hospital, Washington, DCDepartment of Surgery, George Washington University Hospital, Washington, DC; Correspondence: Salim Lala, MD, Division of Vascular Surgery, Department of Surgery, The George Washington Medical Faculty Associates, 2150 Pennsylvania Ave NW, Ste 6B, Seattle, WA. 20037Acute limb ischemia is a critical vascular emergency often resulting from embolic sources, requiring prompt intervention to prevent significant morbidity and mortality. This paper presents a case of a 74-year-old female with acute limb ischemia due to a thromboembolus in the distal brachial artery and a nonocclusive mobile thrombus in the innominate artery. The patient underwent urgent brachial artery thromboembolectomy and subsequent retrograde innominate artery stenting via right open transcarotid approach. The retrograde approach was chosen to minimize stroke risk associated with embolization. The successful resolution of the arterial thrombus and restoration of arterial patency underscore the importance of individualized management strategies in complex vascular emergencies.http://www.sciencedirect.com/science/article/pii/S2468428724002594Acute limb ischemiaInnominate artery thrombusRetrograde stentingThromboembolectomyVascular emergency |
| spellingShingle | Rachel Bernardo, BS Hamda Almaazmi, MD Shawn Sarin, MD, MBA Salim Lala, MD, MBA, FACS, FRCSI Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia Journal of Vascular Surgery Cases and Innovative Techniques Acute limb ischemia Innominate artery thrombus Retrograde stenting Thromboembolectomy Vascular emergency |
| title | Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia |
| title_full | Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia |
| title_fullStr | Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia |
| title_full_unstemmed | Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia |
| title_short | Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia |
| title_sort | brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia |
| topic | Acute limb ischemia Innominate artery thrombus Retrograde stenting Thromboembolectomy Vascular emergency |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002594 |
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