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Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life.

Publication ,  Journal Article
Koman, LA; Ruch, DS; Aldridge, M; Smith, BP; Holden, MB; Fulcher, M
Published in: J Hand Surg Am
September 1998

Patients were evaluated before and after arterial reconstruction surgery (1) to define the physiology of the digital microcirculation in chronic subcritical ischemia, (2) to demonstrate the short-term effects of successful arterial reconstruction on microvascular flow, and (3) to document the effects of surgery on symptoms, function, and health-related quality of life. Arterial insufficiency was the result of a proximal reconstructible occlusive lesion, 1 or more distal unreconstructible occlusions, and secondary reactive vasospasm. Microvascular physiology was evaluated by monitoring digital temperatures, microvascular perfusion (laser Doppler fluxmetry) and perfusion patterns (laser Doppler perfusion patterns (laser Doppler perfusion imaging). Following successful vascular reconstruction, digital temperatures and microvascular perfusion improved significantly, approaching control levels. Although cold sensitivity was unchanged, symptoms decreased and upper extremity function and health-related quality of life improved after successful proximal reconstruction in patients with 2-level arterial occlusion.

Duke Scholars

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

September 1998

Volume

23

Issue

5

Start / End Page

773 / 782

Location

United States

Related Subject Headings

  • Wrist
  • Vascular Surgical Procedures
  • Vascular Patency
  • Ulnar Artery
  • Treatment Outcome
  • Radial Artery
  • Quality of Life
  • Orthopedics
  • Middle Aged
  • Microcirculation
 

Citation

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ICMJE
MLA
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Koman, L. A., Ruch, D. S., Aldridge, M., Smith, B. P., Holden, M. B., & Fulcher, M. (1998). Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life. J Hand Surg Am, 23(5), 773–782. https://doi.org/10.1016/S0363-5023(98)80150-0
Koman, L. A., D. S. Ruch, M. Aldridge, B. P. Smith, M. B. Holden, and M. Fulcher. “Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life.J Hand Surg Am 23, no. 5 (September 1998): 773–82. https://doi.org/10.1016/S0363-5023(98)80150-0.
Koman LA, Ruch DS, Aldridge M, Smith BP, Holden MB, Fulcher M. Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life. J Hand Surg Am. 1998 Sep;23(5):773–82.
Koman, L. A., et al. “Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life.J Hand Surg Am, vol. 23, no. 5, Sept. 1998, pp. 773–82. Pubmed, doi:10.1016/S0363-5023(98)80150-0.
Koman LA, Ruch DS, Aldridge M, Smith BP, Holden MB, Fulcher M. Arterial reconstruction in the ischemic hand and wrist: effects on microvascular physiology and health-related quality of life. J Hand Surg Am. 1998 Sep;23(5):773–782.
Journal cover image

Published In

J Hand Surg Am

DOI

ISSN

0363-5023

Publication Date

September 1998

Volume

23

Issue

5

Start / End Page

773 / 782

Location

United States

Related Subject Headings

  • Wrist
  • Vascular Surgical Procedures
  • Vascular Patency
  • Ulnar Artery
  • Treatment Outcome
  • Radial Artery
  • Quality of Life
  • Orthopedics
  • Middle Aged
  • Microcirculation