Left Subclavian Artery Occlusion: Femoro-Axillary Artery Retrograde Bypass.
- Author:
Masaya NAKASHIMA
1
;
Hideaki KOBAYASHI
;
Masayoshi KOBAYASHI
Author Information
- Publication Type:Case Report
- Keywords: Subclavian artery occlusion; Artery bypass; Upper limb salvage
- MeSH: Angiography; Arteries*; Extremities; Female; Fingers; Forearm; Humans; Kidney Failure, Chronic; Middle Aged; Necrosis; Saphenous Vein; Subclavian Artery*; Thrombectomy; Transplants; Upper Extremity
- From:Vascular Specialist International 2016;32(2):62-64
- CountryRepublic of Korea
- Language:English
- Abstract: The treatment tactics for subclavian artery occlusion include the more commonly used endovascular therapy rather than surgical intervention. We present a case of a 61-year-old woman with dialysis-dependent chronic renal failure who experienced left finger necrosis in the left upper extremity. To salvage the limb, we performed femoro-axillary (fem-ax) artery bypass using an autologous saphenous vein graft. However, 10 months later, she experienced coldness in the left forearm. Angiography revealed chronic total occlusion of the venous bypass. Despite emergent thrombectomy, redo fem-ax artery bypass operation was performed using a prosthetic graft. Upper limb salvage can be achieved by fem-ax artery retrograde bypass.
