{"title":"Acute upper limb ischemia secondary to crutch-induced brachial artery aneurysm","authors":"Durr Al-Hakim BSc , Meghan McGillivray MD , Farhad R. Udwadia MBE, MD , Jonathan Misskey MD, MHPE, FRCSC , Kirk Lawlor MD, MEd, FRCSC, FACS","doi":"10.1016/j.jvscit.2025.101782","DOIUrl":null,"url":null,"abstract":"<div><div>Presentation of upper limb ischemia in patients with long-term crutch use warrants suspicion of proximal aneurysmal degeneration with distal thromboembolization. We present a case of a 63-year-old man with a history of chronic axillary crutch use due to childhood poliomyelitis who presented with acute left-hand ischemia. Computed tomography angiography identified a left brachial artery aneurysm, which was determined to be the etiology of the thromboembolic event. The aneurysm was successfully excluded with an axillary-to-brachial artery bypass using the greater saphenous vein. He recovered well without complications and transitioned to ergonomic gait aids to prevent recurrent aneurysmal degeneration and subsequent embolization.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 3","pages":"Article 101782"},"PeriodicalIF":0.7000,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428725000644","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Presentation of upper limb ischemia in patients with long-term crutch use warrants suspicion of proximal aneurysmal degeneration with distal thromboembolization. We present a case of a 63-year-old man with a history of chronic axillary crutch use due to childhood poliomyelitis who presented with acute left-hand ischemia. Computed tomography angiography identified a left brachial artery aneurysm, which was determined to be the etiology of the thromboembolic event. The aneurysm was successfully excluded with an axillary-to-brachial artery bypass using the greater saphenous vein. He recovered well without complications and transitioned to ergonomic gait aids to prevent recurrent aneurysmal degeneration and subsequent embolization.
期刊介绍：
Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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