Document Detail

Thrombosis of axillary-femoral bypass secondary to prosthesis suspension belt.
MedLine Citation:
PMID:  2742475     Owner:  NLM     Status:  MEDLINE    
Patients with peripheral vascular disease and lower extremity amputation frequently undergo arterial bypass surgery to salvage the opposite leg. Compression of axillary-femoral bypass grafts can occur from a variety of causes. The primary physician should monitor graft pulses closely. Compression should be avoided by using forearm crutches instead of axillary crutches. Waist belts for prosthetic support should not be used, and alternatives such as a thigh corset or shoulder suspension should be used. The patient should avoid sleeping on the graft, using a wrist restraint when necessary. If the patient gains weight, garments should be adjusted so as not to be constricting. Upper extremity exercises, particularly in should abduction and extension, should not be so vigorous as to put tension on the graft. A 77-year-old woman with a left below-knee amputation underwent an axillary-femoral bypass for right lower extremity arterial insufficiency which subsequently thrombosed due to compression by the waist belt of her below-knee prosthesis. A series of guidelines are outlined, so that the physiatrist can help maintain graft patency, prolong limb salvage, and avert similar complications in such patients.
J L Rook; R F Green; G N Purgliese; M Silane
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  70     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-08-09     Completed Date:  1989-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  559-61     Citation Subset:  AIM; IM    
Department of Rehabilitation Medicine, New York Hospital, Cornell Medical Center, NY 10021.
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MeSH Terms
Axillary Artery / surgery*
Femoral Artery / surgery*
Graft Occlusion, Vascular / etiology*
Leg / surgery
Prostheses and Implants / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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