NYMC Faculty Publications

Neurological Improvement Following Revision of Vascular Graft Remnants in the Upper Extremity

Author Type(s)

Student, Faculty

DOI

10.1016/j.jvscit.2024.101539

Journal Title

Journal of Vascular Surgery Cases and Innovative Techniques

First Page

101539

Document Type

Article

Publication Date

8-1-2024

Department

Surgery

Second Department

Neurosurgery

Abstract

Remnant vascular grafts may result in significant neurological deficits owing to compression of adjacent neural structures. We report this finding in two cases after extracorporeal membrane oxygenation decannulation and removal of an arteriovenous fistula in the upper extremity. In both cases, removal of the graft, patch arteriotomy, and external neurolysis resulted in significant recovery of neurological function. We review the preoperative workup, diagnostic studies, and technical approach to treatment in an effort to increase recognition among vascular and cardiovascular surgeons and to demonstrate a safe and effective management option through a multidisciplinary approach.

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