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.
Keyphrases
- upper limb
- liver failure
- respiratory failure
- pulmonary embolism
- drug induced
- aortic dissection
- emergency department
- public health
- healthcare
- hepatitis b virus
- chronic kidney disease
- lower limb
- atrial fibrillation
- extracorporeal membrane oxygenation
- quality improvement
- oxidative stress
- venous thromboembolism
- acute respiratory distress syndrome