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

作者全名："Sun, Changli; Wan, Ziming; Lai, Qiquan; Tu, Bo; Chen, Bo"

作者地址："[Sun, Changli] Henan Prov Peoples Hosp, Dept Nephrol, Zhengzhou, Henan, Peoples R China; [Sun, Changli] Cent China Fuwai Hosp, Dept Nephrol, Zhengzhou, Henan, Peoples R China; [Sun, Changli] Henan Prov Clin Res Ctr Kidney Dis, Zhengzhou, Henan, Peoples R China; [Sun, Changli] Zhengzhou Univ, Henan Key Lab Nephrol & Immunol, Cent China Fuwai Hosp, Zhengzhou, Henan, Peoples R China; [Wan, Ziming; Lai, Qiquan] Chongqing Med Univ, Dept Nephrol, Affiliated Hosp 1, Chongqing, Peoples R China; [Tu, Bo; Chen, Bo] Chongqing Med Univ, Dept Ultrasonog, Affiliated Hosp 1, Chongqing, Peoples R China; [Wan, Ziming] Chongqing Med Univ, Dept Nephrol, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400042, Peoples R China"

通信作者："Wan, ZM (通讯作者)，Chongqing Med Univ, Dept Nephrol, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400042, Peoples R China."

来源：HEMODIALYSIS INTERNATIONAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001169511200001

JCR分区：Q3

影响因子：1.2

年份：2024

卷号：28

期号：2

开始页：236

结束页：240

文献类型：Article

关键词：acute upper limb ischemia; arteriovenous graft; hemodialysis; thromboembolism; treatment

摘要："Acute 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."

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