{"title":"Endobypass Using a Heparin-bonded Covered Stent to Treat Upper Limb Claudication due to Axillary Artery Occlusion Following Axillofemoral Bypass","authors":"A. Chaudhuri","doi":"10.1016/j.ejvsextra.2012.03.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Post-surgical axillary artery occlusion may present with upper limb symptoms requiring intervention.</p></div><div><h3>Report</h3><p>A 76-year-old male had previously undergone left axillofemoral bypass for lower limb ischemia. Following an initial presentation with brachial thromboembolism, he re-presented with left axillary artery occlusion manifesting as upper limb claudication significantly affecting activities of daily living. The axillary artery was successfully recanalised following deployment of a 10 × 50mm Viabahn endoprosthesis with complete symptomatic resolution.</p></div><div><h3>Discussion</h3><p>Endovascular recanalisation of proximal upper limb vessels affords a convenient option to open surgery. A stent-graft offers additional protection compared to a stent if there is arterial rupture during the procedure.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"23 5","pages":"Pages e48-e49"},"PeriodicalIF":0.0000,"publicationDate":"2012-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2012.03.001","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316712000131","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Introduction
Post-surgical axillary artery occlusion may present with upper limb symptoms requiring intervention.
Report
A 76-year-old male had previously undergone left axillofemoral bypass for lower limb ischemia. Following an initial presentation with brachial thromboembolism, he re-presented with left axillary artery occlusion manifesting as upper limb claudication significantly affecting activities of daily living. The axillary artery was successfully recanalised following deployment of a 10 × 50mm Viabahn endoprosthesis with complete symptomatic resolution.
Discussion
Endovascular recanalisation of proximal upper limb vessels affords a convenient option to open surgery. A stent-graft offers additional protection compared to a stent if there is arterial rupture during the procedure.
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