title: Ischemia from extrinsic compression of the brachial artery by a stent in the venous outflow of a brachio-basilic arterio-venous graft.
abstract: Distal artery embolization is a well-known complication after mechanical thrombectomy, manifesting as limb ischemia. We describe a case of ischemia that developed after mechanical thrombectomy and stent placement in the venous anastomosis of a brachio- basilic arterio-venous graft. Subsequent investigations revealed that the stent had extrinsically compressed the adjacent brachial artery. Although balloon angioplasty of the artery initially restored flow, the patient needed surgical removal of the graft and stent to prevent persistent ischemia.
authors: Interventional Nephrology Section, Division of Nephrology and Hypertension, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LAInterventional Cardiology Section, Division of Cardiology, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LADepartment of Surgery, Louisiana State University Health Sciences Center, Shreveport, LouisianaDepartment of Medicine, Louisiana State University Health Sciences Center, Shreveport, LouisianaNoninvasive Vascular Laboratory, Department of surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
authors: Adrian
authors: A
authors: Sequeira
authors: Nuri I
authors: NI
authors: Akkus
authors: Jagan
authors: J
authors: Beedupalli
authors: Hosein
authors: H
authors: Shokouh-Amiri
authors: Thomas
authors: T
authors: Smith
authors: Kamal
authors: K
authors: Masri
authors: Douglas
authors: D
authors: Newell
authors: Dale
authors: D
authors: Speir
authors: Kenneth
authors: K
authors: Abreo
mesh_terms: D000800:Angioplasty, Balloon; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D001916:Brachial Artery; D005260:Female; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008875:Middle Aged; D006435:Renal Dialysis; D015607:Stents / Q000009:adverse effects*; D017131:Thrombectomy / Q000009:adverse effects