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Updated: Jun 3, 2025
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Brachial thromboembolectomy and retrograde innominate artery stenting in acute limb ischemia
Rachel Bernardo1, Hamda Almaazmi2, Shawn Sarin3
1The George Washington University School of Medicine and Health Sciences, Washington, DC.
Acute limb ischemia is a critical vascular emergency often resulting from embolic sources, requiring prompt intervention to prevent significant morbidity and mortality. This paper presents a case of a 74-year-old female with acute limb ischemia due to a thromboembolus in the distal brachial artery and a nonocclusive mobile thrombus in the innominate artery. The patient underwent urgent brachial artery thromboembolectomy and subsequent retrograde innominate artery stenting via right open transcarotid approach. The retrograde approach was chosen to minimize stroke risk associated with embolization. The successful resolution of the arterial thrombus and restoration of arterial patency underscore the importance of individualized management strategies in complex vascular emergencies.
Acute limb ischemia is a critical vascular emergency often resulting from embolic sources, requiring prompt intervention to prevent significant morbidity and mortality. This paper presents a case of a 74-year-old female with acute limb ischemia due to a thromboembolus in the distal brachial artery and a nonocclusive mobile thrombus in the innominate artery. The patient underwent urgent brachial artery thromboembolectomy and subsequent retrograde innominate artery stenting via right open transcarotid approach. The retrograde approach was chosen to minimize stroke risk associated with embolization. The successful resolution of the arterial thrombus and restoration of arterial patency underscore the importance of individualized management strategies in complex vascular emergencies.
