Abstract
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. (J Hand Surg 2000;25A:282–290. Copyright © by the American Society
for Surgery of the Hand.)
Keywords
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Article info
Publication history
Accepted:
October 5,
1999
Received:
December 16,
1998
Footnotes
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
**Reprint requests: David S. Ruch, MD, Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157.
*0363-5023/00/25A02-0009$3.00/0
**J Hand Surg 2000;25A;282–290
Identification
Copyright
© 2000 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
