Browsing by Author "Ignacio Torrealba, Jose"

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    Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series
    (2022) Ignacio Torrealba, Jose; Valdes, Francisco J.; Garrido, Luis; Mertens, Renato; Marine, Leopoldo; Bergoeing, Michel; Vargas, Francisco
    Background Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities. Purpose To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches. Cases The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy. Conclusions Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers.
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    Hypercoagulability predicts worse outcomes in young patients undergoing lower extremity revascularization
    (2019) Ignacio Torrealba, Jose; Osman, Mohamed; Kelso, Rebecca
    Objective: Although we know that young patients with peripheral artery disease (PAD) have worse outcomes than older patients, there is a scarcity of information about the incidence of hypercoagulability in this population. Our aim was to analyze outcomes of young patients diagnosed with a hypercoagulable state (unusual tendency toward thrombosis) after lower extremity revascularization compared with similar patients without hypercoagulability.