DIRECT THROMBEMBOLECTOMY OF AXILO-BRAHIO-RADIO-ULNAR VESSELS FOLLOWING CRITICAL UPPER LIMB ISCHEMIA AS COMPLICATION OF A CLAVICULAR FRACTURE – CASE REPORT
Abstract:
Critical limb ischemia is a vascular emergency defined as a sudden decrease in limb perfusion associated with a risk of loss of viability of the affected extremity. It has two treatment possibilities: surgical treatment or catheter-based treatment. In our opinion, mechanical thrombectomy (MT) is superior to thrombolysis in the treatment of limb ischemia in some cases. In rare cases, a clavicle fracture can cause arterial compression, releasing a limb ischemia. We describe the case of a 50-year-old male patient with critical ischemia of the right upper limb. He had a history of untreated right clavicle fracture in the childhood which had caused an extrinsic compression of the subclavian artery releasing occlusion. A thromboembolectomy combined with endovascular therapy of the subclavian, brachial and distal arteries was performed, mechanical thrombembolecomy proved to be more effective in this case.
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