Recurrent upper extremity acute limb ischemia secondary to retained axillary polytetrafluoroethylene cuff causing axillary stump syndrome
- Resource Type
- Authors
- Katherine K. McMackin; Jose Trani; Lauren Jonas; Mikael A. Fadoul
- Source
- Journal of Vascular Surgery Cases and Innovative Techniques
Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 4, Pp 606-608 (2020)
- Subject
- medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_treatment
lcsh:Surgery
Embolectomy
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Graft infection
Case report
Medicine
Axillary stump syndrome
Covered stent
Polytetrafluoroethylene
business.industry
lcsh:RD1-811
medicine.disease
Limb ischemia
Surgery
Embolism
chemistry
lcsh:RC666-701
Cuff
Etiology
Axillofemoral graft
Cardiology and Cardiovascular Medicine
business
Complication
- Language
- English
- ISSN
- 2468-4287
Acute limb ischemia of the upper extremity is less frequently encountered than in the lower extremity. The etiology is typically cardioembolic. Axillary-femoral stump syndrome is a rare complication associated with an occluded axillary-femoral bypass graft. We present the case of recurrent acute limb ischemia of the upper extremity whose embolic source was a retained cuff of a previously explanted axillary-profunda bypass graft. The patient failed anticoagulation after an initial embolectomy and after a recurrent embolism from the retained cuff, ultimately required cuff exclusion with a covered stent.