Surgical Treatment of Takayasu''s Arteritis

Yasuda, Keishu

doi:10.2169/internalmedicine.37.903

Intern. Med.

1998

DOI: 10.2169/internalmedicine.37.903

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Surgical Treatment of Takayasu''s Arteritis

Keishu Yasuda

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2001

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Atraumatic Acute Upper Limb Ischemia

Sultan

Evoy

Eldin³

et al. 2001

Vascular Surgery

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This paper documents the various causes of upper limb ischemia in a series of 64 Egyptian patients presenting to a tertiary referral center over a 4-year period and offers a diagnostic dissertation and review of the pertinent literature. Atraumatic upper limb ischemia is an uncommon entity. It has a broad etiology with diverse management pathways. Nineteen patients presented with severe and immediate limb-threatening ischemia. These patients underwent immediate surgical exploration: an embolus was diagnosed in 15 and thrombosis in 4. Twenty-eight patients presented with ischemia of lesser severity, allowing preoperative angiography. Of these 28 patients, 6 had an embolus, 14 had thrombosis, 4 had thoracic outlet syndrome, the remainder had miscellaneous causes. Fifteen patients had upper limb ischemia secondary to arteritis, and 2 patients with dissection of the ascending thoracic aorta presented with upper limb ischemia. Forty-seven patients underwent a surgical procedure, with a morbidity rate of 21% and mortality rate of 19%. Patients presenting with upper limb ischemia tend to have significant co-existing disease. Management of upper limb ischemia requires preoperative and/or peroperative angiography with careful application of vascular surgical expertise.

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Atraumatic Acute Upper Limb Ischemia

Sultan

Evoy

Eldin³

et al. 2001

Vascular Surgery

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show abstract

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Surgical Treatment of Takayasu''s Arteritis

Cited by 1 publication

References 12 publications

Atraumatic Acute Upper Limb Ischemia

Atraumatic Acute Upper Limb Ischemia

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