Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report

Q4 Medicine Radiology Case Reports Pub Date : 2025-02-01 DOI:10.1016/j.radcr.2024.11.008

M.A. Sedgaryan MD, PhD , A.V. Kudrinskiy MD, PhD , A.V. Snitsar MD , M.V. Patlachuk MD , P.A. Talyzin MD , V.A. Shibitov MD, DMSc , I.S. Ishutkin MD

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Abstract

This case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out to restore blood flow in the right upper limb: brachial artery arteriotomy with thrombectomy through an open approach combined with endovascular recanalisation and balloon angioplasty of the forearm arteries. The comprehensive approach, incorporating endovascular and traditional vascular surgery techniques, resulted in a successful clinical outcome and avoided serious complications. This case highlights the importance of a multidisciplinary approach and timely intervention in treating complex cardiovascular pathologies.

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多学科方法在同时卒中和上肢动脉急性动脉缺血治疗中的应用：1例报告。

本病例报告报告一例合并缺血性脑卒中及右上肢急性动脉缺血的临床治疗。紧急从大脑中动脉抽血栓可改善患者的神经系统状况。为恢复右上肢的血流，我们采用了一种混合的干预措施：通过开放入路行肱动脉切开术并取栓，同时对前臂动脉进行血管内再通和球囊血管成形术。该综合方法结合了血管内和传统血管手术技术，取得了成功的临床结果，避免了严重的并发症。这个病例强调了多学科方法和及时干预治疗复杂心血管疾病的重要性。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.

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