Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report
This case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324012718 |
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| author | M.A. Sedgaryan, MD, PhD A.V. Kudrinskiy, MD, PhD A.V. Snitsar, MD M.V. Patlachuk, MD P.A. Talyzin, MD V.A. Shibitov, MD, DMSc I.S. Ishutkin, MD |
| author_facet | M.A. Sedgaryan, MD, PhD A.V. Kudrinskiy, MD, PhD A.V. Snitsar, MD M.V. Patlachuk, MD P.A. Talyzin, MD V.A. Shibitov, MD, DMSc I.S. Ishutkin, MD |
| author_sort | M.A. Sedgaryan, MD, PhD |
| collection | DOAJ |
| description | This case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out to restore blood flow in the right upper limb: brachial artery arteriotomy with thrombectomy through an open approach combined with endovascular recanalisation and balloon angioplasty of the forearm arteries. The comprehensive approach, incorporating endovascular and traditional vascular surgery techniques, resulted in a successful clinical outcome and avoided serious complications. This case highlights the importance of a multidisciplinary approach and timely intervention in treating complex cardiovascular pathologies. |
| format | Article |
| id | doaj-art-e079ff757d624fe9aca712e0c14a8d34 |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e079ff757d624fe9aca712e0c14a8d342025-08-20T01:57:55ZengElsevierRadiology Case Reports1930-04332025-02-012021215122110.1016/j.radcr.2024.11.008Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case reportM.A. Sedgaryan, MD, PhD0A.V. Kudrinskiy, MD, PhD1A.V. Snitsar, MD2M.V. Patlachuk, MD3P.A. Talyzin, MD4V.A. Shibitov, MD, DMSc5I.S. Ishutkin, MD6Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, RussiaDepartment of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia; Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital 24”, Pistsovaya St., 10, building 2 127015, Moscow, Russia; Corresponding author.Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital 24”, Pistsovaya St., 10, building 2 127015, Moscow, RussiaDepartment of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, RussiaDepartment of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, RussiaDepartment of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, RussiaDepartment of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, RussiaThis case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out to restore blood flow in the right upper limb: brachial artery arteriotomy with thrombectomy through an open approach combined with endovascular recanalisation and balloon angioplasty of the forearm arteries. The comprehensive approach, incorporating endovascular and traditional vascular surgery techniques, resulted in a successful clinical outcome and avoided serious complications. This case highlights the importance of a multidisciplinary approach and timely intervention in treating complex cardiovascular pathologies.http://www.sciencedirect.com/science/article/pii/S1930043324012718Ischemic strokeAcute arterial ischemiaThrombectomyUpper extremityEmbolismEndovascular surgery |
| spellingShingle | M.A. Sedgaryan, MD, PhD A.V. Kudrinskiy, MD, PhD A.V. Snitsar, MD M.V. Patlachuk, MD P.A. Talyzin, MD V.A. Shibitov, MD, DMSc I.S. Ishutkin, MD Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report Radiology Case Reports Ischemic stroke Acute arterial ischemia Thrombectomy Upper extremity Embolism Endovascular surgery |
| title | Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report |
| title_full | Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report |
| title_fullStr | Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report |
| title_full_unstemmed | Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report |
| title_short | Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report |
| title_sort | multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity a case report |
| topic | Ischemic stroke Acute arterial ischemia Thrombectomy Upper extremity Embolism Endovascular surgery |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324012718 |
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