Distal Bypass to the Deep Palmar Arch for Treatment of a Unique Presentation of Digital Ischemia

Autor: Nayun Lee, MS, Michael B. Gehring, MD, Kia M. Washington, MD, FACS
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Plastic and Reconstructive Surgery, Global Open, Vol 11, Iss 7, p e5121 (2023)
Druh dokumentu: article
ISSN: 2169-7574
00000000
DOI: 10.1097/GOX.0000000000005121
Popis: Summary:. Radial artery occlusion leading to hand ischemia is a serious problem that may require prompt surgical intervention. Due to the rarity of these events, consensus on the most effective surgical approach has not yet been reached. There is even scarce literature on appropriate management of symptomatic radial occlusion in patients with a congenital variation in hand vasculature. We report on a case of a 38-year-old woman with radial artery occlusion who underwent a successful distal radial artery bypass to the deep palmar arch due to a diminutive ulnar artery and the absence of a superficial palmar arch. Radial artery bypass to the deep palmar arch using a reversed vein graft is a viable treatment option for preventing further digital ischemia or necrosis in patients with a compromised vasculature of the hand.
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