title: Traumatically-induced embolus to the hand from a thrombosed PTFE vascular access graft.
abstract: We report a case of a traumatically-induced embolus from a thrombosed PTFE vascular access graft in a patient who had undergone a successful cadaveric renal transplant. Although usually thought to be without subsequent sequelae, thrombosed PTFE grafts can be a source of emboli to the hand in active young patients. Diagnosis, etiology, and management are discussed. Therapeutic intervention includes exclusion of the graft from the arterial circulation to the hand and removal of all existing thrombus.
authors.affiliation: Department of Surgery, University of California, San Diego Medical Center.
authors.forename: G
authors.initials: G
authors.lastname: Senofsky
authors.forename: R J
authors.initials: RJ
authors.lastname: Hye
authors.forename: B
authors.initials: B
authors.lastname: Fellmeth
authors.forename: J
authors.initials: J
authors.lastname: Freischlag
mesh_terms: D000328:Adult; D000792:Angiography; D001807:Blood Vessel Prosthesis; D005543:Forearm Injuries / Q000150:complications*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
chemical_list: D011138:Polytetrafluoroethylene