Argyriou Christos, Georgiadis George S, Mantatzis Michael, Schoretsanitis Nikolaos G, Antoniou George A, Papadopoulou Maria Z, Vogiatzaki Theodosia, Lazarides Miltos K
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece
Vascular. 2015 Dec;23(6):653-6. doi: 10.1177/1708538114560459. Epub 2014 Nov 17.
Hybrid vascular interventions performed in patients with chronic limb ischemia are considered minimally invasive techniques for treating complex multilevel arterial occlusive disease.
We report the case of a 42-year-old woman with a critical upper limb ischemia, who underwent angioplasty and secondary stenting of the distal-third of the axillary artery followed by a brachial-brachial bypass using an autologous graft.
The patient had an uneventful recovery. To our knowledge, this is the first case reported in the literature of hybrid vascular reconstruction in the upper limb due to atherosclerosis.
Hybrid revascularization procedure in the upper limb is technically feasible, safe for the patient, and should become a part of the armamentarium of the modern vascular surgeon.
对于慢性肢体缺血患者进行的混合血管介入治疗被认为是治疗复杂多节段动脉闭塞性疾病的微创技术。
我们报告了一例42岁患有严重上肢缺血的女性病例，该患者接受了腋动脉远侧三分之一段的血管成形术及二期支架置入术，随后使用自体移植物进行了肱-肱旁路移植术。
患者恢复顺利。据我们所知，这是文献中报道的首例因动脉粥样硬化导致上肢混合血管重建的病例。
上肢混合血运重建术在技术上是可行的，对患者安全，应成为现代血管外科医生的技术手段之一。
