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Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome

Introduction: Hypothenar Hammer syndrome refers to thrombosis/aneurysm of ulnar artery at Guyon's canal in wrist, with resultant arterial insufficiency in the ulnar artery distribution.1 Patients typically describe unilateral symptoms in the fourth and/or fifth fingers of the hand. Symptoms can...

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Autores principales: Gala, Zachary S., Ayyala, Haripriya, Viviano, Stephen L., Ignatiuk, Ashley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481368/
https://www.ncbi.nlm.nih.gov/pubmed/32963666
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author Gala, Zachary S.
Ayyala, Haripriya
Viviano, Stephen L.
Ignatiuk, Ashley
author_facet Gala, Zachary S.
Ayyala, Haripriya
Viviano, Stephen L.
Ignatiuk, Ashley
author_sort Gala, Zachary S.
collection PubMed
description Introduction: Hypothenar Hammer syndrome refers to thrombosis/aneurysm of ulnar artery at Guyon's canal in wrist, with resultant arterial insufficiency in the ulnar artery distribution.1 Patients typically describe unilateral symptoms in the fourth and/or fifth fingers of the hand. Symptoms can range from asymptomatic to pain, pallor, paresthesia, weakness, cold intolerance, and eventually ulceration, necrosis, and gangrene of the distal digits.1 Treatment options range from conservative, lifestyle management, to medication, and ultimately to surgical intervention. In this case report, we outline the second successful lateral circumflex femoral artery (LCFA) graft reconstruction of the ulnar artery in the setting of Hypothenar Hammer Syndrome conducted by the senior author. However, during this procedure, the use of intraoperative intravenous (IV) injection of indocyanine green (ICG) dye (hereafter ICG) imaging helped identify an additional area of stenosis previously unseen on pre-operative MRA, therefore enabling us to perform a more adequate resection and repair. To our knowledge, the use of intraoperative ICG for Hypothenar Hammer Syndrome and/or ulnar artery reconstruction has not been documented in the literature.
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spelling pubmed-74813682020-09-21 Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome Gala, Zachary S. Ayyala, Haripriya Viviano, Stephen L. Ignatiuk, Ashley Eplasty Case Report Introduction: Hypothenar Hammer syndrome refers to thrombosis/aneurysm of ulnar artery at Guyon's canal in wrist, with resultant arterial insufficiency in the ulnar artery distribution.1 Patients typically describe unilateral symptoms in the fourth and/or fifth fingers of the hand. Symptoms can range from asymptomatic to pain, pallor, paresthesia, weakness, cold intolerance, and eventually ulceration, necrosis, and gangrene of the distal digits.1 Treatment options range from conservative, lifestyle management, to medication, and ultimately to surgical intervention. In this case report, we outline the second successful lateral circumflex femoral artery (LCFA) graft reconstruction of the ulnar artery in the setting of Hypothenar Hammer Syndrome conducted by the senior author. However, during this procedure, the use of intraoperative intravenous (IV) injection of indocyanine green (ICG) dye (hereafter ICG) imaging helped identify an additional area of stenosis previously unseen on pre-operative MRA, therefore enabling us to perform a more adequate resection and repair. To our knowledge, the use of intraoperative ICG for Hypothenar Hammer Syndrome and/or ulnar artery reconstruction has not been documented in the literature. Open Science Company, LLC 2020-08-05 /pmc/articles/PMC7481368/ /pubmed/32963666 Text en Copyright © 2020 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gala, Zachary S.
Ayyala, Haripriya
Viviano, Stephen L.
Ignatiuk, Ashley
Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
title Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
title_full Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
title_fullStr Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
title_full_unstemmed Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
title_short Saved by the SPY*: Ulnar Artery Reconstruction With LCFA Graft for Hypothenar Hammer Syndrome
title_sort saved by the spy*: ulnar artery reconstruction with lcfa graft for hypothenar hammer syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481368/
https://www.ncbi.nlm.nih.gov/pubmed/32963666
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