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Reverse Total Shoulder Arthroplasty
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Delayed Axillary Artery Occlusion after Reverse Total Shoulder Arthroplasty.

Omar M Ghanem1, Jana Sacco2, Richard F Heitmiller1

  • 1Medstar Union Memorial Hospital, Baltimore, MD 21218, USA.

Case Reports in Orthopedics
|August 25, 2016
PubMed
Summary

Delayed axillary artery occlusion can occur after reverse total shoulder arthroplasty. Prompt diagnosis via Doppler and angiography, followed by angioplasty and stenting, is crucial for patient recovery.

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Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Medical Case Reports

Background:

  • Axillary artery injury is a known complication associated with shoulder dislocation and surgical procedures.
  • Reverse total shoulder arthroplasty is an increasingly common procedure for shoulder joint restoration.

Purpose of the Study:

  • To report a rare case of delayed axillary artery occlusion following reverse total shoulder arthroplasty.
  • To highlight the diagnostic and therapeutic approach for this specific vascular complication.

Main Methods:

  • Diagnostic confirmation using Doppler ultrasound and angiography.
  • Interventional treatment involving angioplasty and stenting of the occluded artery.

Main Results:

  • Successful diagnosis of delayed axillary artery occlusion post-arthroplasty.
  • Effective treatment achieved through angioplasty and stenting, restoring blood flow.

Conclusions:

  • Delayed axillary artery occlusion is a potential, albeit uncommon, complication of reverse total shoulder arthroplasty.
  • Early recognition and timely endovascular intervention are essential for successful patient outcomes and limb salvage.