Acute upper limb ischaemia complication of thrombosed arteriovenous fistula

Jothinathan, Muniandy and Muhammad Taqiyuddin, Yahaya and Yew, Ting Ting and Richard, Hardin (2023) Acute upper limb ischaemia complication of thrombosed arteriovenous fistula. MJM Case Reports Journal, 2 (1). pp. 1-4. ISSN 2948-3859

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Abstract

Thrombosed arteriovenous fistula is usually uncomplicated and adherent to the wall. Thrombosed vascular access causing acute limb ischaemia is rare, with only 16 cases reported in the literature. Varying treatment modalities such as percutaneous catheter-directed thrombolysis, aspiration, embolectomy, segmental aneurysm resection and ligation have been described in the literature for acute limb ischemia secondary to thrombosed fistula. The surgical approach aims to restore vascular patency, arterial stenosis and recurrence of acute limb ischaemia. This case series describes three cases of acute limb ischaemia due to a thrombosed fistula with a embolectomy via arterialized vein graft and ligation of the fistula at juxta-anastomosis. The clinical management and learning experience are shared within the report. This case report would timely contribute to the growing literature on thrombosed vascular access associated with acute limb ischaemia.

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