Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders
| Autor: | B H Hwang, L S Levin, Marc J. Richard, Suhail K. Mithani, David S. Ruch, Ronnie L. Shammas |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Treatment outcome Ischemia Connective tissue Scleroderma Fingers 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans In patient Sympathectomy Connective Tissue Diseases Aged Retrospective Studies 030203 arthritis & rheumatology 030222 orthopedics Periarterial sympathectomy business.industry Vascular bypass Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Anesthesia Female business |
| Zdroj: | The Journal of hand surgery, European volume. 42(8) |
| ISSN: | 2043-6289 |
| Popis: | All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995–2013 were reviewed. The durable resolution of ulcers was significantly higher in patients treated by periarterial sympathectomy and bypass than in patients treated by periarterial sympathectomy alone. Although there were more digital amputations in patients treated by periarterial sympathectomy alone, the difference was not statistically significant. Vascular bypass in conjunction with sympathectomy may be better than sympathectomy alone in patients with digital ischaemia related to connective tissue disorders. Level of evidence: IV |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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