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

Publication ,  Journal Article
Shammas, RL; Hwang, BH; Levin, LS; Richard, MJ; Ruch, DS; Mithani, SK
Published in: J Hand Surg Eur Vol
October 2017

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.

Duke Scholars

Published In

J Hand Surg Eur Vol

DOI

EISSN

2043-6289

Publication Date

October 2017

Volume

42

Issue

8

Start / End Page

823 / 826

Location

England

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Sympathectomy
  • Retrospective Studies
  • Orthopedics
  • Middle Aged
  • Male
  • Ischemia
  • Humans
  • Fingers
 

Citation

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ICMJE
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Shammas, R. L., Hwang, B. H., Levin, L. S., Richard, M. J., Ruch, D. S., & Mithani, S. K. (2017). Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders. J Hand Surg Eur Vol, 42(8), 823–826. https://doi.org/10.1177/1753193417718784
Shammas, R. L., B. H. Hwang, L. S. Levin, M. J. Richard, D. S. Ruch, and S. K. Mithani. “Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders.J Hand Surg Eur Vol 42, no. 8 (October 2017): 823–26. https://doi.org/10.1177/1753193417718784.
Shammas RL, Hwang BH, Levin LS, Richard MJ, Ruch DS, Mithani SK. Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders. J Hand Surg Eur Vol. 2017 Oct;42(8):823–6.
Shammas, R. L., et al. “Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders.J Hand Surg Eur Vol, vol. 42, no. 8, Oct. 2017, pp. 823–26. Pubmed, doi:10.1177/1753193417718784.
Shammas RL, Hwang BH, Levin LS, Richard MJ, Ruch DS, Mithani SK. Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders. J Hand Surg Eur Vol. 2017 Oct;42(8):823–826.
Journal cover image

Published In

J Hand Surg Eur Vol

DOI

EISSN

2043-6289

Publication Date

October 2017

Volume

42

Issue

8

Start / End Page

823 / 826

Location

England

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Sympathectomy
  • Retrospective Studies
  • Orthopedics
  • Middle Aged
  • Male
  • Ischemia
  • Humans
  • Fingers