Document Detail


Acute upper limb ischemia due to cardiac origin thromboembolism: the usefulness of percutaneous aspiration thromboembolectomy via a transbrachial approach.
MedLine Citation:
PMID:  21927561     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the usefulness of percutaneous aspiration thromboembolectomy (PAT) via a transbrachial approach in patients with acute upper limb ischemia.
MATERIALS AND METHODS: From July 2004 to March 2008, eleven patients with acute upper limb ischemia were enrolled in this study. They were initially treated with thrombolysis (n = 1), PAT (n = 6), or both (n = 4) via a femoral artery approach. However, all of the patients had residual thrombus in the brachial artery, which was subsequently managed by PAT via the transbrachial approach for removal of residual emboli.
RESULTS: Successful re-canalization after PAT via a transbrachial approach was achieved in all patients. Two patients experienced early complications: one experienced a massive hematoma of the upper arm due to incomplete compression and was treated by stent deployment. The other patient experienced a re-occlusion of the brachial artery the day after the procedure due to excessive manual compression of the puncture site, but did not show recurrence of ischemic symptoms in the artery of the upper arm. Clinical success with complete resolution of ischemic symptoms was achieved in all patients.
CONCLUSION: PAT via a transbrachial approach is a safe and effective treatment for patients with acute upper limb ischemia.
Authors:
Sung-Kwan Kim; Hyo-Sung Kwak; Gyoung-Ho Chung; Young-Min Han
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-08-24
Journal Detail:
Title:  Korean journal of radiology : official journal of the Korean Radiological Society     Volume:  12     ISSN:  2005-8330     ISO Abbreviation:  Korean J Radiol     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-09-19     Completed Date:  2012-01-19     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  100956096     Medline TA:  Korean J Radiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  595-601     Citation Subset:  IM    
Affiliation:
Department of Radiology, Chonbuk National University Hospital & Medical School, Jeonbuk 561-712, Korea.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Aged, 80 and over
Arm / blood supply*
Atrial Fibrillation / complications
Axillary Artery
Brachial Artery*
Catheterization, Peripheral*
Embolectomy* / methods
Endovascular Procedures*
Female
Heart Failure / complications
Humans
Ischemia / etiology*
Male
Middle Aged
Thrombectomy* / methods
Thromboembolism / etiology,  therapy*
Thrombolytic Therapy
Comments/Corrections

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