Endobypass Using a Heparin-bonded Covered Stent to Treat Upper Limb Claudication due to Axillary Artery Occlusion Following Axillofemoral Bypass

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• 作者：A. Chaudhuri ; ^{a.chaudhuri@ntlworld.com}
• 关键词：Upper limb claudication ; Axillary occlusion ; Viabahn
• 刊名：EJVES Extra
• 出版年：2012
• 期刊代码：84_15333167
• 类别：med
• 出版时间：May, 2012
• 卷：23
• 期：5
• 页码：e48-e49
• 文件大小：274 K

摘要

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聽脳聽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.