Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders.

Journal Article (Journal Article)

UNLABELLED: All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995-2013 were reviewed. The durable resolution of ulcers was significantly higher in patients treated by periarterial sympathectomy and bypass than in patients treated by periarterial sympathectomy alone. Although there were more digital amputations in patients treated by periarterial sympathectomy alone, the difference was not statistically significant. Vascular bypass in conjunction with sympathectomy may be better than sympathectomy alone in patients with digital ischaemia related to connective tissue disorders. LEVEL OF EVIDENCE: IV.

Full Text

Duke Authors

Cited Authors

  • Shammas, RL; Hwang, BH; Levin, LS; Richard, MJ; Ruch, DS; Mithani, SK

Published Date

  • October 2017

Published In

Volume / Issue

  • 42 / 8

Start / End Page

  • 823 - 826

PubMed ID

  • 28707510

Electronic International Standard Serial Number (EISSN)

  • 2043-6289

Digital Object Identifier (DOI)

  • 10.1177/1753193417718784


  • eng

Conference Location

  • England