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Updated: Apr 20, 2026
Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
Published on: June 13, 2025
Hybrid reconstruction of the upper limb in a patient with chronic limb ischemia
Christos Argyriou1, George S Georgiadis2, Michael Mantatzis3
1Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
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.
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