Arterial Conduits for Distal Upper Extremity Bypass

Vascular bypass is an accepted surgical procedure for treatment of hand and digital ischemia that is the result of identifiable arterial disease. Although vein grafts have traditionally been used as vascular conduits for reconstruction, arterial grafts present a better alternative, physiologically, for reconstruction and may result in superior outcomes. Arteries suitable for grafts are not abundant and, therefore, upper extremity surgeons must be informed about possible donor sites and techniques for harvest.