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A 74-year-old woman presented with severe ischemia of the right upper extremity due to post-radiation-induced subclavian-axillary artery occlusion. An unsuccessful endovascular attempt for revascularization of the subclavian-axillary artery required an interposition graft placement. Graft occlusion occurred 26 months later. A crossover axillo-axillary graft was performed. Recurrent ischemia of the right hand required three additional operations (revision of distal anastomosis), graft thrombectomy twice, and a vein bypass to the distal portion of the brachial artery. The patient died 9 years following the index procedure from carcinoma of the lung with satisfactory arterial flow to both upper extremities.

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Post-radiation Subclavian-Axillary Occlusion with Severe Hand Ischemia

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  • 发表日期：

    2026年

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  • Sachinder Singh Hans

摘要

A 74-year-old woman presented with severe ischemia of the right upper extremity due to post-radiation-induced subclavian-axillary artery occlusion. An unsuccessful endovascular attempt for revascularization of the subclavian-axillary artery required an interposition graft placement. Graft occlusion occurred 26 months later. A crossover axillo-axillary graft was performed. Recurrent ischemia of the right hand required three additional operations (revision of distal anastomosis), graft thrombectomy twice, and a vein bypass to the distal portion of the brachial artery. The patient died 9 years following the index procedure from carcinoma of the lung with satisfactory arterial flow to both upper extremities.