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Axillary artery thrombosis: a complication of axillo-femoral bypass grafts

H J Rashleigh-Belcher, J F Newcombe

    Surgery
    |March 1, 1987
    PubMed

    Insights

    Late axillary artery thrombosis can occur after axillofemoral bypass grafting due to graft-induced arterial angulation. Prompt exploration of the upper anastomosis is crucial for limb salvage.

    Area of Science:

    • Vascular Surgery
    • Cardiovascular Medicine
    • Surgical Complications

    Background:

    • Axillofemoral bypass grafting is a surgical procedure used to restore blood flow to the upper extremities.
    • Late complications following bypass grafting require careful monitoring and management.

    Observation:

    • Three cases of late axillary artery thrombosis were identified after axillofemoral bypass grafting.
    • In these cases, the axillary artery was angulated sharply due to being pulled down by the graft.

    Findings:

    • Graft-induced angulation of the axillary artery is a significant cause of late thrombosis.
    • This complication can lead to severe consequences, including limb loss.

    Implications:

    • Early exploration of the upper anastomosis is recommended for patients experiencing symptoms of axillary artery thrombosis.
    • Anticoagulation or distal thrombus removal are generally ineffective and delay necessary surgical intervention.

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