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Eric S. Chemla, MD, Alain Raynaud, MD, Benoît Mongrédien, MD, Myriam A

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Presentation on theme: "Eric S. Chemla, MD, Alain Raynaud, MD, Benoît Mongrédien, MD, Myriam A"— Presentation transcript:

1 Forearm arteries entrapment syndrome: A rare cause of recurrent angioaccess thrombosis 
Eric S. Chemla, MD, Alain Raynaud, MD, Benoît Mongrédien, MD, Myriam A. Combes, MD, Nicola D'Attellis, MD, Cyril F. Cardon, MD, Pierre L. Julia, MD, PhD, Jean-François Toussaint, MD, PhD, Jean-Noel Fabiani, MD  Journal of Vascular Surgery  Volume 34, Issue 4, Pages (October 2001) DOI: /mva Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Angioaccess angiogram in pronated position. Radial artery is occluded, and ulnar artery is normally patent with no stenosis. See two large aneurysms at cannulation site. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Angioaccess angiogram in supinated position. Ulnar artery is compressed by external structure. Arteriovenous fistula is occluded. Also shown are two aneurysms on PTFE graft. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Angioaccess angiogram in pronated position. This is a normally patent wrist radiocephalic arteriovenous fistula. Ulnar artery is occluded. A, Upper limb arteriography showing high origin of the ulnar artery. B, Angiogram showing that the ulnar artery cannot fill fistula through palmar arch. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 When forearm is in supinated position, the radial artery is compressed by an external process. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

6 Fig. 5 Angioaccess angiogram in complete supinated position. Radial artery and arteriovenous fistula are occluded. Cubital artery cannot fill fistula in a retrograde way through palmar arch. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

7 Fig. 6 A, Forearm cross section's drawing figuring the sublimis bridge. During supination, the ulnar artery is compressed between both superficialis and profundus flexor digitorum. B, Anterior view of forearm, showing fibrosis arcade compressing the radial artery in pronator teres syndrome. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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