Vasc Spec Int.  2016 Jun;32(2):62-64. 10.5758/vsi.2016.32.2.62.

Left Subclavian Artery Occlusion: Femoro-Axillary Artery Retrograde Bypass

• Nakashima
• Kobayashi
• Kobayashi

• KMID: 2328034
• DOI: http://doi.org/10.5758/vsi.2016.32.2.62

Abstract

The treatment tactics for subclavian artery occlusion include the more commonly used endovascular therapy rather than surgical intervention. We present a case of a 61-year-old woman with dialysis-dependent chronic renal failure who experienced left finger necrosis in the left upper extremity. To salvage the limb, we performed femoro-axillary (fem-ax) artery bypass using an autologous saphenous vein graft. However, 10 months later, she experienced coldness in the left forearm. Angiography revealed chronic total occlusion of the venous bypass. Despite emergent thrombectomy, redo fem-ax artery bypass operation was performed using a prosthetic graft. Upper limb salvage can be achieved by fem-ax artery retrograde bypass.

Keyword

Subclavian artery occlusion; Artery bypass; Upper limb salvage

MeSH Terms

Angiography
Arteries*
Extremities
Female
Fingers
Forearm
Humans
Kidney Failure, Chronic
Middle Aged
Necrosis
Saphenous Vein
Subclavian Artery*
Thrombectomy
Transplants
Upper Extremity