Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4071364 | The Journal of Hand Surgery | 2008 | 4 Pages |
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.
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Authors
George D. Chloros, Zhongyu Li, L. Andrew Koman,