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CC BY 4.0 · Journal of Health and Allied Sciences NU 2023; 13(03): 431-435
DOI: 10.1055/s-0042-1758528
Original Article

Endovascular Management of Two Uncommon Cases of Acute Upper Limb Ischemia in Young

Basavaraj Utagi 
1   Department of Cardiology, KSHEMA, Deralakatte, Mangalore, Karnataka, India
,
Ruhi Kumar
2   Department of General Medicine, KSHEMA, Deralakatte, Mangalore, Karnataka, India
,
K.R. Bhagavan
3   Department of General Surgery, KSHEMA, Deralakatte, Mangalore, Karnataka, India
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Abstract

Acute upper limb ischemia accounts for less than 5% of all cases of limb ischemia. The etiology in young individuals are usually traumatic. Other non-traumatic causes are rarely seen and here we present two such cases in young, presenting with acute upper limb ischemia. The choice between a surgical or a minimally invasive endovascular approach remains unclear. Endovascular approach to management, although based on expertise, offers good post procedural outcome, comparable to post-surgical outcomes. Here we present two cases of thrombotic occlusion of the upper extremity following trauma and arterial thoracic outlet syndrome respectively managed successfully with endovascular approach.

Keywords

upper limb ischemia - peripheral angioplasty - cervical rib - post-traumatic brachial artery thrombosis - in-graft stenosis

Note

This paper is not under consideration elsewhere. None of the paper's content has been published previously. All authors have read and approved the manuscript.




Publication History

Article published online:
30 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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