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Case/Review

Case/Review

Upper extremity chronic limb-threatening ischemia (CLTI) attributable to infrabrachial chronic arterial occlusive disease is an infrequently encountered problem in clinical practice for which no evidence-based treatment algorithm exists. Here the authors describe their approach to a patient with right upper extremity CLTI and limited arterial runoff into the hand. They performed an end-to-side anastomosis between the cephalic vein of the proximal forearm and the distal brachial artery, with complete mechanical valvulotomy of the arterialized vein. The operation yielded a satisfactory technical result, and the patient’s wounds healed completely.

Case/Review

The Pantheris device (Avinger), an integrated version of IV-OCT in a directional atherectomy device, has been used for the revascularization of lower extremity occlusions. We present a 73-year-old patient with chronic total occlusion of the axillary artery with successful revascularization using the Pantheris device, for the first time in the literature.

Case/Review

This case report describes a successful endovascular revascularization technique which, along with a multidisciplinary approach, resulted in limb salvage with only a minor amputation.

Case/Review

The following case report follows a 78-year-old male with CLI who underwent invasive total ankle joint replacement.

Case/Review

We present the successful treatment of critical hand ischemia in a young patient with end-stage renal disease using orbital atherectomy and balloon angioplasty.

Case/Review

We discuss the treatment approach taken to target the patient’s disease and analyze the significant benefits of revascularization beyond the pedal plantar loop, particularly its role in promoting effective wound healing while lowering the risk of amputation.

Case/Review

We present a case of ostial superficial femoral artery CTO in a patient with CLI who underwent successful revascularization via TCIA strategy with a successful outcome. 

Case/Review

We present 5 elderly patients with varying severity of acute respiratory distress syndrome due to SARS-CoV-2. During hospitalization, each patient experienced acute arterial ischemia of the lower extremity despite anticoagulation therapy, requiring surgical intervention.