PMC5319131_01
Left sub-clavian arterial angiogram showing thrombus.
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A 40 year old female with no co-morbidities, presented to the hospital with severe rest pain and swelling of left hand of 4-5 days duration associated with discoloration of index and middle fingers (Fig. 1).
Clinical picture of left hand showing gangrenous changes of digits.
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Peripheral angiogram of the left sub-clavian artery showed thrombus at the origin of the left sub-clavian artery extending across the vertebral artery (Fig. 2).
Left sub-clavian artery angiogram after successful thrombolysis.
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Left subclavian Angiogram repeated after 24 h of thrombolysis showed complete resolution of the thrombus with good distal flow (Fig. 3).