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Pouya Tayebi,Fatemeh Mahmoudlou,Yasaman Daryabari,Atefeh Shamsian 대한혈관외과학회 2020 Vascular Specialist International Vol.36 No.4
The creation of an arteriovenous fistula instead of a synthetic vascular graft is asmart decision in hemodialysis patients who do not have a suitable superficial vein. Basilic vein transposition (BVT) is a viable option in most cases, except in patientswho do not have a proper basilic vein. In patients with inadequate superficial veins,another source of the autogenous vein is the brachial vein, a deep vein of the upperarm. Most surgeons choose a full medial arm incision to perform brachial veinexploration. We describe a patient in whom BVT was not possible and so brachialvein transposition using skip incisions was performed, with good results.
Extensive Acute Lower Extremity Arterial Thrombosis: A Major Thrombus Formation Caused by COVID-19
Pouya Tayebi,Mahmoud Sadeghi Haddad Zavareh,Gooya Tayyebi,Fatemeh Zahra Abdollahi,Fatemeh Mahmoudlou 대한혈관외과학회 2021 Vascular Specialist International Vol.37 No.4
Acute thromboembolic events have been frequently reported in patients with coronavirus disease 2019 (COVID-19) due to an increase in the coagulation system activity and endothelial dysfunction. This report describes a patient with COVID-19 who initially reported respiratory symptoms and developed acute lower limb ischemia secondary to extensive macrovascular arterial thrombosis, which was treated with thrombectomy. The development of such extensive arterial thrombosis with anticoagulants at therapeutic doses is a new sign of increased viral pathogenicity, and it is necessary to develop and apply updated prophylaxis protocols for thrombosis in these patients.