RESUMEN
AIM: Hybrid vascular interventions performed in patients with chronic limb ischemia are considered minimally invasive techniques for treating complex multilevel arterial occlusive disease. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Asunto(s)
Angioplastia de Balón , Aterosclerosis/cirugía , Arteria Axilar , Arteria Braquial/cirugía , Isquemia/cirugía , Procedimientos de Cirugía Plástica , Extremidad Superior/irrigación sanguínea , Venas/trasplante , Adulto , Angioplastia de Balón/instrumentación , Aterosclerosis/diagnóstico , Aterosclerosis/fisiopatología , Arteria Axilar/diagnóstico por imagen , Arteria Axilar/fisiopatología , Arteria Braquial/diagnóstico por imagen , Arteria Braquial/fisiopatología , Enfermedad Crónica , Terapia Combinada , Femenino , Humanos , Isquemia/diagnóstico , Isquemia/fisiopatología , Radiografía , Flujo Sanguíneo Regional , Stents , Trasplante Autólogo , Resultado del Tratamiento , Grado de Desobstrucción Vascular , Venas/fisiopatologíaRESUMEN
Little is known regarding the outcomes of endovascular and surgical treatment of penetrating ulcers in the abdominal aorta. The potential benefit of conservative management of asymptomatic disease is also debatable. A systematic review of the literature was undertaken to investigate these issues.