Acute Upper Limb Ischemia due to Cardiac Origin Thromboembolism: the Usefulness of Percutaneous Aspiration Thromboembolectomy via a Transbrachial Approach.
10.3348/kjr.2011.12.5.595
- Author:
Sung Kwan KIM
1
;
Hyo Sung KWAK
;
Gyoung Ho CHUNG
;
Young Min HAN
Author Information
1. Department of Radiology, Chonbuk National University Hospital & Medical School, Jeonbuk 561-712, Korea. kwak8140@chonbuk.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Acute limb ischemia;
Artery;
Endovascular treatment
- MeSH:
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
- From:Korean Journal of Radiology
2011;12(5):595-601
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
