Anatomic and physiologic evaluation of upper extremity ischemia.

Journal Article (Journal Article)

This study assessed the accuracy of arteriography and laser Doppler perfusion imaging (LDPI) as predictors of digital ischemia and correlated upper extremity symptoms, function, and nutritional flow with arteriographic and laser Doppler assessments. Multiple-level occlusive disease was documented in 25 hands (23 patients) by arteriography. LDPI demonstrated one or more hypoperfused digits in 17 hands. Patient questionnaires were used to assess upper extremity symptoms, pain, cold sensitivity, and function. Spearman correlation coefficients indicated that arteriography is a poor indicator of nutritional perfusion as measured by LDPI. Neither arteriography or laser Doppler perfusion imaging served as an indicator of the severity of cold intolerance. However, upper extremity symptoms and functional status correlated with both laser Doppler measurements and the level of cold sensitivity. Laser Doppler perfusion imaging and arteriographic analysis provide complimentary data in the evaluation of upper extremity ischemia.

Full Text

Duke Authors

Cited Authors

  • Ruch, DS; Smith, TL; Smith, BP; Holden, M; Russell, G; Koman, LA

Published Date

  • 1999

Published In

Volume / Issue

  • 19 / 4

Start / End Page

  • 181 - 188

PubMed ID

  • 10336247

International Standard Serial Number (ISSN)

  • 0738-1085

Digital Object Identifier (DOI)

  • 10.1002/(sici)1098-2752(1999)19:4<181::aid-micr4>;2-j


  • eng

Conference Location

  • United States