Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report

M.A. Sedgaryan, MD, PhD; A.V. Kudrinskiy, MD, PhD; A.V. Snitsar, MD; M.V. Patlachuk, MD; P.A. Talyzin, MD; V.A. Shibitov, MD, DMSc; I.S. Ishutkin, MD

Radiology Case Reports (Feb 2025)

Multidisciplinary approach in the management of simultaneous stroke and acute arterial ischemia of the arteries of the upper extremity: A case report

M.A. Sedgaryan, MD, PhD,
A.V. Kudrinskiy, MD, PhD,
A.V. Snitsar, MD,
M.V. Patlachuk, MD,
P.A. Talyzin, MD,
V.A. Shibitov, MD, DMSc,
I.S. Ishutkin, MD

Affiliations

M.A. Sedgaryan, MD, PhD: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia
A.V. Kudrinskiy, MD, PhD: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia; Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital 24”, Pistsovaya St., 10, building 2 127015, Moscow, Russia; Corresponding author.
A.V. Snitsar, MD: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital 24”, Pistsovaya St., 10, building 2 127015, Moscow, Russia
M.V. Patlachuk, MD: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia
P.A. Talyzin, MD: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia
V.A. Shibitov, MD, DMSc: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia
I.S. Ishutkin, MD: Department of Endovascular Surgery, State Budgetary Healthcare Institution “City Clinical Hospital named after M.E. Zhadkevich”, Mozhaiskoe Highway, 14 121374, Moscow, Russia

Journal volume & issue: Vol. 20, no. 2
pp. 1215 – 1221

Abstract

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This case report presents a clinical case of management of a patient with concomitant ischemic stroke and acute arterial ischemia of the right upper limb. Emergency thrombaspiration from the middle cerebral artery improved the patient's neurological status. A hybrid intervention was carried out to restore blood flow in the right upper limb: brachial artery arteriotomy with thrombectomy through an open approach combined with endovascular recanalisation and balloon angioplasty of the forearm arteries. The comprehensive approach, incorporating endovascular and traditional vascular surgery techniques, resulted in a successful clinical outcome and avoided serious complications. This case highlights the importance of a multidisciplinary approach and timely intervention in treating complex cardiovascular pathologies.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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