Distal Bypass to the Palmar Arch to Rescue Digital Ischemia Due to Peripheral Artery Disease

Digital ischemia is a serious problem in peripheral artery diseases (PAD) patients. Case 1: A 60-year-old woman with large arteriovenous fistula (AVF) complained of digital ischemia symptoms. The patient underwent dissection of AVF and distal bypass to the palmar arch with successful repair. Case 2:...

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Detalles Bibliográficos
Autores principales: Nakamura, Tsukasa, Nobori, Shuji, Akioka, Kiyokazu, Masuda, Koji, Harada, Shumpei, Osaka, Masafumi, Matsuyama, Takehisa, Yoshimura, Norio, Ushigome, Hidetaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200604/
https://www.ncbi.nlm.nih.gov/pubmed/30402184
http://dx.doi.org/10.3400/avd.cr.18-00011
Descripción
Sumario:Digital ischemia is a serious problem in peripheral artery diseases (PAD) patients. Case 1: A 60-year-old woman with large arteriovenous fistula (AVF) complained of digital ischemia symptoms. The patient underwent dissection of AVF and distal bypass to the palmar arch with successful repair. Case 2: A 47-year-old female, diagnosed with renal failure, and scleroderma, complained of a digital gangrene. A bypass was performed from the left brachial artery to the superficial palmar arch. The digital gangrene showed a complete recovery within 2 months after surgery. Distal bypass to the palmar arch thus appears to be a useful procedure to re-establish digital circulation in PAD patients.

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