Review Article

Anemia to Median Nerve Palsy

Authors: Joecelyn Kirani Tan, BSc, Abysinia Sibanda, MBBS, MRCP, FRCR, Edmund Leung, MBChB, MRCS, DMedSci, FRCS, FEBS

Abstract

Mesenteric angina has a high mortality rate. Occlusion of the superior mesenteric artery is the most common cause. Increasingly, it is managed endovascularly instead of by open revascularization. Despite the lower risk of complications in minimally invasive procedures, it is important to be mindful of long-term sequelae of minor complications. Patient education regarding risks and complications is paramount for better clinical outcomes. The risks of transbrachial angiography procedures are low. Postprocedural vigilance for interventionists and written educational advice to patients are paramount in all minimally invasive endovascular procedures, especially because most of these patients with a complication require urgent operative correction.

 

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References

1. Molyneux K, Beck-Esmay J, Koyfman A, et al. High risk and low prevalence diseases: mesenteric ischemia. Am J Emerg Med 2023;65:154–161.
 
2. Bala M, Catena F, Kashuk J, et al. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery. World J Emerg Surg 2022;17:54.
 
3. Beaulieu RJ, Arnaoutakis KD, Abularrage CJ, et al. Comparison of open and endovascular treatment of acute mesenteric ischemia. J Vasc Surg 2014;59: 159–164.
 
4. N’guessan Judicael A, Kwadjau Anderson A, Abdoulaye T, et al. Mesenteric angina successfully treated by percutaneous angioplasty. Radiol Case Rep 2021;16:2454–2456.
 
5. Alvarez-Tostado JA, Moise MA, Bena JF, et al. The brachial artery: a critical access for endovascular procedures. J Vasc Surg 2009;49:378–385.
 
6. Gardiner GA Jr, Meyerovitz MF, Stokes KR, et al. Complications of transluminal angioplasty. Radiology 1986;159:201–208.
 
7. Goddard AF, James MW, McIntyre AS, et al. Guidelines for the management of iron deficiency anaemia. Gut 2011;60:1309–1316.
 
8. Olano C, Pazos X, Avendaño K, et al. Diagnostic yield and predictive factors of findings in small-bowel capsule endoscopy in the setting of iron-deficiency anemia. Endosc Int Open 2018;6:688–693.
 
9. Cryer B, Mahaffey KW. Gastrointestinal ulcers, role of aspirin, and clinical outcomes: pathobiology, diagnosis, and treatment. J Multidiscip Healthc 2014;7:137–146.
 
10. Sreenarasimhaiah K. Chronic mesenteric ischaemia. Curr Treat Options Gastroenterol 2007;10:3–9.
 
11. Daher S, Lahav Z, Rmeileh AA, et al. Ischemic gastropathic ulcer mimics gastric cancer. Case Rep Gastrointest Med 2016;2016:9745854.
 
12. Oderich GS, Gloviczki P, Bower TC. Open surgical treatment for chronic mesenteric ischemia in the endovascular era: when it is necessary and what is the preferred technique? Semin Vasc Surg 2010;23:36–46.
 
13. Trihan JE, Lebuhotel I, Desvergnes M, et al. Delayed severe median nerve palsy due to undiagnosed brachial pseudoaneurysm. Vasa 2020;49: 418–421.
 
14. Peters S, Braun-Dullaeus R, Herold J. Pseudoaneurysm. Hamostaseologie 2018;38:166–172.
 
15. Patel A, Parikh R, Bertrand OF, et al. A novel patent hemostasis protocol - prevention of pseudoaneurysm after tibiopedal arterial access for evaluation and treatment of peripheral arterial disease. Cardiovasc Revasc Med 2019; 20:598–602.