Long-term successful outcome of severe hand ischemia using arterialization with reversal of venous flow: case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 18762095.
- Also identified by DOI 10.1016/j.jhsa.2008.02.026.
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Abstract
The management of unreconstructible vascular lesions in the hand is a challenge with limited options for treatment. After 22 years of hand ischemia, involving management with reverse interpositional vein grafting, periarterial sympathectomy, and partial finger amputations, a 62-year-old man underwent arterialization of the venous system of the hand for unreconstructible distal vascular lesions as a salvage procedure. At 7-year follow-up, the patient is pain-free with good functional and health-related quality of life outcomes and no further amputations. This procedure may be considered as a salvage alternative to prevent additional amputation in selected patients.
Medical subject headings
- Arterial Occlusive Diseases
- Hand
- Ischemia
- Radial Artery
- Vascular Surgical Procedures
- Veins
Anatomy
- hand