Brachio-brachial Bypass in the Treatment of Ischemia in the Upper Extremity: Case Report

Year 2025, Volume: 11 Issue: 2, 304 - 307, 28.05.2025

Veli Burak Taçkın , İsmail Kakillioğlu , Ersin Özer , Rauf Önder

https://doi.org/10.53394/akd.1405384

Abstract

Bypass is a rarely applied revascularization technique in acute upper extremity ischemia. Timely diagnosis and intervention must be made to prevent limb loss and morbidity. In this case, we aimed to present brachio-brachial bypass surgery performed due to persistence of limb ischemia after brachial embolectomy. The case was a 74-year-old male patient who presented to the emergency department with acute onset of shortness of breath and left arm pain. Occlusion was detected in the brachial artery. Despite brachial embolectomy, adequate flow could not be achieved. Brachio-brachial bypass was performed and rapid clinical recovery was achieved.

Keywords

Atrial Fibrillation , Embolism , Embolectomy , Arteries

Üst Ekstremitede Gelişen İskemi Tedavisinde Yapılan Brakiyo-brakiyal Baypass: Olgu Sunumu

Abstract

Baypass, akut üst ekstremite iskemisinde nadiren uygulanan revaskülarizasyon tekniğidir. Ekstremite kaybını ve morbiditeyi önlemek için zamanında tanı ve müdahale yapılmalıdır. Bu olguda brakiyal embolektomi sonrasında ekstremite iskemisinin devam etmesi nedeniyle yapılan brakiyo-brakiyal baypas cerrahisini sunmayı amaçladık. Olgu, akut başlangıçlı nefes darlığı ve sol kol ağrısı ile acil servise başvuran 74 yaşında erkek hastaydı. Brakiyal arterde oklüzyon saptandı. Brakiyal embolektomiye rağmen yeterli akım sağlanamadı. Brakiyo-brakiyal baypas yapıldı ve hızlı klinik iyileşme sağlandı.

Keywords

Atriyal Fibrilasyon , Emboli , Embolektomi , Arterler.

References

• 1. Huang D, Ruzicka J, Leon L, Ganti L. Acute Upper Extremity Arterial Occlusion Diagnosed on POCUS in The Emergency Department. POCUS J 2023; 8(1):25-9.
• 2. Fluck F ,A ugustin AM, Bley T, Kickuth R. Current Treatment Options in Acute Limb Ischemia. ROFO 2020; 192(4):319-26.
• 3. Karnabatidis D, Spiliopoulos S, Tsetis D, Siablis D. Quality improvement guidelines for percutaneous catheter-directed intra-arteria thrombolysis and mechanical thrombectomy for acute lower-limb ischemia. Cardiovasc Intervent Radiol 2011; 34(6):1123-36.
• 4. Bae M, Chung SW, Lee CW, Choi J, Song S, Kim SP. Upper Limb Ischemia: Clinical Experiences of Acute and Chronic Upper Limb Ischemia in a Single Center. Korean J Thorac Cardiovasc Surg 2015; 48(4):246-51.
• 5. Harnarayan P, Islam S, Harnanan D, Bheem V, Budhooram S.Acute Upper Limb Ischemia: Prompt Surgery and Long-Term Anticoagulation Prevent Limb Loss and Debilitation, Vasc Health Risk Manag 2021; 17:489-95.
• 6. Deguara J, Ali T, Modarai B, Burnand KG. Upper limb ischemia: 20 years experience from a single center. Vascular 2005; 13(2):84-91.
• 7. Parvizi J. Vascular injury and orthopaedics. Arthroplast Today 2018; 4(4): 399-400.