title: Left Subclavian Artery Occlusion: Femoro-Axillary Artery Retrograde Bypass.
abstract: The treatment tactics for subclavian artery occlusion include the more commonly used endovascular therapy rather than surgical intervention. We present a case of a 61-year-old woman with dialysis-dependent chronic renal failure who experienced left finger necrosis in the left upper extremity. To salvage the limb, we performed femoro-axillary (fem-ax) artery bypass using an autologous saphenous vein graft. However, 10 months later, she experienced coldness in the left forearm. Angiography revealed chronic total occlusion of the venous bypass. Despite emergent thrombectomy, redo fem-ax artery bypass operation was performed using a prosthetic graft. Upper limb salvage can be achieved by fem-ax artery retrograde bypass.
authors.affiliation: Department of Vascular Surgery, Tokoname Municipal Hospital, Aichi, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Nakashima
authors.affiliation: Department of Vascular Surgery, Tokoname Municipal Hospital, Aichi, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kobayashi
authors.affiliation: Department of Cardiovascular Surgery, Fujita Health University School of Medicine, Aichi, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Kobayashi
keywords: Artery bypass; Subclavian artery occlusion; Upper limb salvage