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NAVIGATING COMPLICATIONS: CEREBELLAR ISCHEMIA FOLLOWING HYBRID SURGERY ON A DIALYSIS LOOP GRAFT

Ahmad Abdelhafez Ghanem, Faisal Alm

Turkish Journal of Vascular Surgery - 2025;34(3):254-257

Cairo University, Faculty of Medicine, Department of Vascular Surgery, Giza, Egypt

 

Intracranial embolization most commonly arises from the carotid arteries, the heart, the aorta, the vertebrobasilar circulation, or-less frequently-via retrograde embolization from the left distal subclavian artery. We report the case of a woman who developed acute right eye strabismus (exotropia), headache, and nausea, without additional neurological deficits, immediately after undergoing hybrid surgery (thrombectomy with angioplasty) for a subclavian arterio-arterial loop graft. This case represents a rare instance of postoperative intracranial ischemic infarction, potentially linked to an underlying thrombophilic state.