Acute upper limb ischemia caused by thrombus shedding during arteriovenous graft thrombolysis: A case report-Reference-Cited by-同舟云学术

Acute upper limb ischemia caused by thrombus shedding during arteriovenous graft thrombolysis: A case report

Published:2024-02-22 Issue:2 Volume:28 Page:236-240
ISSN:1492-7535
Container-title:Hemodialysis International
language:en
Short-container-title:Hemodialysis International

Author:

Sun Changli¹²³⁴,Wan Ziming⁵,Lai Qiquan⁵,Tu Bo⁶,Chen Bo⁶

Affiliation:

1. Department of Nephrology Henan Provincial People's Hospital Zhengzhou Henan China

2. Department of Nephrology Central China Fuwai Hospital Zhengzhou Henan China

3. Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou Henan China

4. Henan Key Laboratory of Nephrology and Immunology Central China Fuwai Hospital of Zhengzhou University Zhengzhou Henan China

5. Department of Nephrology The First Affiliated Hospital of Chongqing Medical University Chongqing China

6. Department of Ultrasonography The First Affiliated Hospital of Chongqing Medical University Chongqing China

Abstract

AbstractAcute upper limb ischemia is a rare, potentially limb‐ or life‐threatening vascular emergency that may lead to limb dysfunction or amputation. We present a patient undergoing maintenance hemodialysis who was hospitalized for arteriovenous graft thrombus complicated by acute upper limb ischemia arising from thrombus shedding to the fingertip arteries during thrombolysis. We successfully restored fingertip arterial patency, avoided amputation, and recovered the function of the arteriovenous graft by precise thrombolysis, anticoagulation, correction of arteriospasm, and percutaneous transluminal angioplasty. This case provides a basis for vascular access surgeons to treat acute upper limb ischemia caused by thromboembolism similarly.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/hdi.13135

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