Hybrid reconstruction of the upper limb in a patient with chronic limb ischemia.
OBJECTIVE
Hybrid vascular interventions performed in patients with chronic limb ischemia are considered minimally invasive techniques for treating complex multilevel arterial occlusive disease.


METHODS
We report the case of a 42-year-old woman with a critical upper limb ischemia, who underwent angioplasty and secondary stenting of the distal-third of the axillary artery followed by a brachial-brachial bypass using an autologous graft.


RESULTS
The patient had an uneventful recovery. To our knowledge, this is the first case reported in the literature of hybrid vascular reconstruction in the upper limb due to atherosclerosis.


CONCLUSIONS
Hybrid revascularization procedure in the upper limb is technically feasible, safe for the patient, and should become a part of the armamentarium of the modern vascular surgeon.
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Christos
C
Argyriou
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece ggeorgia@med.duth.gr.
George S
GS
Georgiadis
Department of Radiology, Interventional Radiology Unit, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Michael
M
Mantatzis
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Nikolaos G
NG
Schoretsanitis
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
George A
GA
Antoniou
Department of Anesthesiology, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Maria Z
MZ
Papadopoulou
Department of Anesthesiology, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Theodosia
T
Vogiatzaki
Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Greece.
Miltos K
MK
Lazarides
D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation; D050197:Atherosclerosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001366:Axillary Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures; D012039:Regional Blood Flow; D015607:Stents; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014654:Vascular Patency; D014680:Veins / Q000503:physiopathology / Q000637:transplantation*
Upper limb; angioplasty/stenting; hybrid repair; ischemia; vein bypass