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

Changli Sun1,2,3,4, Ziming Wan5, Qiquan Lai5

  • 1Department of Nephrology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.

Hemodialysis International. International Symposium on Home Hemodialysis
|February 22, 2024
PubMed

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.

Keywords:
acute upper limb ischemiaarteriovenous grafthemodialysisthromboembolismtreatment

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