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Endovascular Treatment of Axillofemoral Bypass Graft Stump Syndrome
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（Department of Cardiovascular Surgery, National Hospital Organization, Mito Medical Center, Ibaraki, Japan, Department of Cardiovascular Surgery, Hachinohe City Hospital*, Hachinohe, Japan, and Department of Cardiovascular Surgery, Cardiovascular Center, Sendai Kousei Hospital**, Sendai, Japan）
| Kazunori Ishikawa |
Shunichi Kawarai* |
Azumi Hamasaki** |
| Kazuo Abe** |
Gen-ya Yaginuma** |
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The use of axillofemoral bypass grafts（AxFG）has became a widely accepted treatment for high-risk patients with aortoiliac occlusive disease. On the other hand, AxFG has been associated with a variety of complications in the upper extremity. A symptom of upper extremity thromboembolism after AxFG occlusion is reported as axillofemoral bypass graft stump syndrome（AxFSS). We report the case of a 55-year-old man with repeated AxFSS after an AxFG occlusion. He underwent brachial artery exploration and embolectomy. Angiograms showed an embolus floating in the axillary artery, which originated from the occluded graft stump. The stump was obliterated with a metallic stent introduced through the same arteriotomy made for the embolectomy. The endovascular treatment of AxFSS is minimally invasive and is an effective modality in this condition.
Jpn. J. Cardiovasc. Surg. 42:38-41（2013）
Keywords：peripheral arterial disease, thromboembolism, stent, arm
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