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Arterial reconstruction for radial artery occlusion.

Publication ,  Journal Article
Ruch, DS; Aldridge, M; Holden, M; Smith, TL; Koman, LA; Smith, BP
Published in: J Hand Surg Am
March 2000

This study was designed to detail the history and symptoms of symptomatic radial artery vaso-occlusive disease and to evaluate the results of radial artery reconstruction. Thirteen patients with symptomatic vaso-occlusive disease of the radial artery unresponsive to management by nonoperative modalities were managed with arterial reconstruction. All cases were treated with reversed interpositional vein grafting from the radial artery in the forearm (end-to-side) to the deep arch distally (end-to-end). Patients completed preoperative and postoperative assessments of symptoms and function, cold sensitivity (cold intolerance), and digital microvascular perfusion (isolated cold stress test evaluation with laser Doppler fluxmetry). At the follow-up examination all vascular grafts were patent, as determined by Allen's testing and Doppler ultrasound. The patients reported symptoms and functional status that demonstrated significant improvement following reconstruction. Microvascular evaluations demonstrated a significant improvement in digital microvascular perfusion as assessed by laser Doppler fluxmetry and digital temperature recordings with a resultant resolution of ischemic pain, numbness, and ulceration.

Duke Scholars

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

March 2000

Volume

25

Issue

2

Start / End Page

282 / 290

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Ultrasonography, Interventional
  • Treatment Outcome
  • Statistics, Nonparametric
  • Saphenous Vein
  • Regional Blood Flow
  • Radial Artery
  • Prognosis
  • Orthopedics
  • Middle Aged
 

Citation

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Ruch, D. S., Aldridge, M., Holden, M., Smith, T. L., Koman, L. A., & Smith, B. P. (2000). Arterial reconstruction for radial artery occlusion. J Hand Surg Am, 25(2), 282–290. https://doi.org/10.1053/jhsu.2000.jhsu25a0282
Ruch, D. S., M. Aldridge, M. Holden, T. L. Smith, L. A. Koman, and B. P. Smith. “Arterial reconstruction for radial artery occlusion.J Hand Surg Am 25, no. 2 (March 2000): 282–90. https://doi.org/10.1053/jhsu.2000.jhsu25a0282.
Ruch DS, Aldridge M, Holden M, Smith TL, Koman LA, Smith BP. Arterial reconstruction for radial artery occlusion. J Hand Surg Am. 2000 Mar;25(2):282–90.
Ruch, D. S., et al. “Arterial reconstruction for radial artery occlusion.J Hand Surg Am, vol. 25, no. 2, Mar. 2000, pp. 282–90. Pubmed, doi:10.1053/jhsu.2000.jhsu25a0282.
Ruch DS, Aldridge M, Holden M, Smith TL, Koman LA, Smith BP. Arterial reconstruction for radial artery occlusion. J Hand Surg Am. 2000 Mar;25(2):282–290.
Journal cover image

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

March 2000

Volume

25

Issue

2

Start / End Page

282 / 290

Location

United States

Related Subject Headings

  • Vascular Surgical Procedures
  • Ultrasonography, Interventional
  • Treatment Outcome
  • Statistics, Nonparametric
  • Saphenous Vein
  • Regional Blood Flow
  • Radial Artery
  • Prognosis
  • Orthopedics
  • Middle Aged