@article{ref1,
title="Subclavian-brachial bypass for chronic limb threatening ischemia associated with an old motorcycle accident",
journal="Vascular specialist international",
year="2022",
author="Martínez-Quesada, Jose I. and Anaya-Ayala, Javier E. and Mier Y Terán-Ellis, Santiago and Miranda-Ramírez, Montserrat and Arzola, Luis H. and Ruben-Castillo, Christopher and Aramburo, Juan C. and de Los Ríos, Jesus M. and Hinojosa, Carlos A.",
volume="38",
number="",
pages="e14-e14",
abstract="Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.<p /> <p>Language: en</p>",
language="en",
issn="2288-7970",
doi="10.5758/vsi.220012",
url="http://dx.doi.org/10.5758/vsi.220012"
}