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

M A Sedgaryan, A V Kudrinskiy, A V Snitsar, M V Patlachuk, P A Talyzin, V A Shibitov, I S Ishutkin

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Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

M A SedgaryanDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital named after M.E. Zhadkevich", Mozhaiskoe Highway, 14 121374, Moscow, Russia.

A V KudrinskiyDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital named after M.E. Zhadkevich", Mozhaiskoe Highway, 14 121374, Moscow, Russia.

A V SnitsarDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital 24", Pistsovaya St., 10, building 2 127015, Moscow, Russia.

M V PatlachukDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital named after M.E. Zhadkevich", Mozhaiskoe Highway, 14 121374, Moscow, Russia.

P A TalyzinDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital named after M.E. Zhadkevich", Mozhaiskoe Highway, 14 121374, Moscow, Russia.

V A ShibitovDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital named after M.E. Zhadkevich", Mozhaiskoe Highway, 14 121374, Moscow, Russia.

I S IshutkinDepartment of Endovascular Surgery, State Budgetary Healthcare Institution "City Clinical Hospital named after M.E. Zhadkevich", Mozhaiskoe Highway, 14 121374, Moscow, Russia.

Funding

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6 · The paper itself

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.

Indexed as

Acute arterial ischemiaEmbolismEndovascular surgeryIschemic strokeThrombectomyUpper extremity

Identifiers

PMID39726908

DOI10.1016/j.radcr.2024.11.008

PMCPMC11669957

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