Acute violation of arterial circulation of the upper limb

Introduction. Acute violation of arterial circulation of the upper extremities is a difficult problem in terms of surgical treatment. Among modern examination methods, duplex scanning of the arteries of the upper extremities is most often used. Contrast angiography has been and remains the absolute method of diagnosing arterial lesions. MSCT angiography is currently becoming a serious competitor to conventional vascular imaging methods.A clinical case. The case of surgical treatment of patient S., 61 years old, who was taken to the general surgery department of Ramenskoye Hospital by an ambulance team with a clinic for acute ischemia of the right upper limb is presented. CT scan shows occlusion of the right axillary and right brachial arteries. Autovenous subclavian-brachial bypass surgery was performed.Discussion. In the absence of the technical possibility of conducting a standard contrast examination of blood vessels, it is necessary to resort to MSCT angiography, which will help determine the true level of occlusion of the main vessel.Conclusion. To establish the exact level of occlusion of the arteries of the upper extremities and to choose the correct method of surgical intervention, instrumental research methods, including radiopaque examination of the arteries, are necessary. In the absence of an angiography room, MSCT angiography is an important aid in the examination of the patient.