Upper limb arterial thrombosis arising on a background of atherosclerotic disease is a clinically distinct scenario. The underlying aetiology directly determines which surgical intervention is appropriate — and which must be avoided.
This protocol covers upper limb arterial thrombosis where the underlying cause is atherosclerosis. Because the vessel wall is structurally compromised by atherosclerotic disease, the management approach differs fundamentally from thromboembolism of embolic origin.
Surgical reconstruction is the indicated strategy in this setting. The specific operative technique is selected on the basis of the atherosclerotic aetiology — one common approach to upper limb thrombosis is considered inappropriate here.
The complete structured regimen — including the preferred intervention and contraindicated procedures — is available via the link below.
DOI: 10.1111/jth.12181
However, upper limb thrombosis resulting from atherosclerosis usually requires bypass surgery, and thromboembolectomy is inappropriate.
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