Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis
A 52-year-old man who had received hemodialysis via a left radial–cephalic arteriovenous fistula (AVF) for 18 years presented with severe ischemic symptoms in the left upper arm 12 years after occlusion of the AVF. Diagnostic imaging revealed thrombotic occlusion from a left axillary–brachial artery...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723002435 |
| _version_ | 1827578660961386496 |
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| author | Tsutomu Doita, MD Taro Yamasumi, MD Takashi Nakamura, MD, PhD |
| author_facet | Tsutomu Doita, MD Taro Yamasumi, MD Takashi Nakamura, MD, PhD |
| author_sort | Tsutomu Doita, MD |
| collection | DOAJ |
| description | A 52-year-old man who had received hemodialysis via a left radial–cephalic arteriovenous fistula (AVF) for 18 years presented with severe ischemic symptoms in the left upper arm 12 years after occlusion of the AVF. Diagnostic imaging revealed thrombotic occlusion from a left axillary–brachial artery aneurysm, which required distal bypass surgery. The inflow artery of an AVF can develop aneurysmal degeneration, resulting in upper limb ischemia by embolization or decreased flow, especially with a ligated or occluded AVF or immunosuppressive therapy after renal transplantation. In such cases, the AVF should be monitored, even if ligated or occluded. |
| first_indexed | 2024-03-08T21:50:36Z |
| format | Article |
| id | doaj.art-01a9b9eb5cef4434988b2f6328ca7c1a |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-08T21:50:36Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-01a9b9eb5cef4434988b2f6328ca7c1a2023-12-20T07:35:17ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-12-0194101334Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysisTsutomu Doita, MD0Taro Yamasumi, MD1Takashi Nakamura, MD, PhD2Department of Vascular Surgery, Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital, Sakai, Osaka, JapanDepartment of Vascular Surgery, Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital, Sakai, Osaka, JapanCorrespondence: Takashi Nakamura, MD, PhD, Department of Vascular Surgery, Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital, 1179-3 Nagasone-cho, Kita-ku, Sakai, Osaka 591-8025, Japan; Department of Vascular Surgery, Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital, Sakai, Osaka, JapanA 52-year-old man who had received hemodialysis via a left radial–cephalic arteriovenous fistula (AVF) for 18 years presented with severe ischemic symptoms in the left upper arm 12 years after occlusion of the AVF. Diagnostic imaging revealed thrombotic occlusion from a left axillary–brachial artery aneurysm, which required distal bypass surgery. The inflow artery of an AVF can develop aneurysmal degeneration, resulting in upper limb ischemia by embolization or decreased flow, especially with a ligated or occluded AVF or immunosuppressive therapy after renal transplantation. In such cases, the AVF should be monitored, even if ligated or occluded.http://www.sciencedirect.com/science/article/pii/S2468428723002435Arteriovenous fistulaBrachial artery aneurysmUpper limb ischemia |
| spellingShingle | Tsutomu Doita, MD Taro Yamasumi, MD Takashi Nakamura, MD, PhD Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis Journal of Vascular Surgery Cases and Innovative Techniques Arteriovenous fistula Brachial artery aneurysm Upper limb ischemia |
| title | Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis |
| title_full | Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis |
| title_fullStr | Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis |
| title_full_unstemmed | Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis |
| title_short | Thrombosis related to true axillo-brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis |
| title_sort | thrombosis related to true axillo brachial arterial aneurysm following ligation of longstanding arteriovenous fistula for hemodialysis |
| topic | Arteriovenous fistula Brachial artery aneurysm Upper limb ischemia |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723002435 |
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