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August 1965

Salvage of Arm With Brachial to Radial Artery Graft

Author Affiliations

From the Department of Surgery, The Mount Sinai Hospital.

Arch Surg. 1965;91(2):342-343. doi:10.1001/archsurg.1965.01320140132022

COMPLICATIONS of retrograde femoral or brachial artery catheterization for radiographic visualization of the heart and blood vessels are not rare. However, spontaneous recovery from most of the complications is the rule. Especially is this so in the case of brachial artery catheterization where arterial spasm is a frequent sequel to the procedure but viability of the lower arm is not lost. Recently, however, we had the opportunity to treat with a bypass graft a patient who developed severe, prolonged ischemia of the arm while undergoing brachial artery catheterization. Because this complication is rarely encountered and because this is the first successful treatment of it with a graft to the radial artery, to our knowledge, the case is being reported.

Report of a Case  The patient (MSH No. 225425) was admitted to Mount Sinai Hospital on July 15, 1963. He was a 51-year-old truck driver who in January 1963 developed an

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