Original Communications| Volume 25, ISSUE 2, P282-290, March 2000

Download started.


Arterial reconstruction for radial artery occlusion


      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.)


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Kleinert HE
        • Burget GC
        • Morgan JA
        • Kutz JE
        • Atasoy E.
        Aneurysms of the hand.
        Arch Surg. 1973; 106: 554-557
        • Koman LA
        • Urbaniak JR.
        Ulnar artery thrombosis.
        Hand Clin. 1985; 1: 311-325
        • Mehlhoff TL
        • Wood MB.
        Ulnar artery thrombosis and the role of interposition vein grafting: patency with microsurgical technique.
        J Hand Surg. 1991; 16A: 274-278
        • Coleman SS
        • Anson BJ.
        Arterial patterns in the hand based upon a study of 650 specimens.
        Surg Gynecol Obstet. 1961; 113: 409-424
        • Koman LA
        • Ruch DS
        • Smith BP
        • Smith TL.
        Vascular disorders.
        in: 4th ed. Green's operative hand surgery.Vol. 2. : Churchill Livingstone, New York1999: 2254-2302
        • McCabe SJ
        • Mizgala C
        • Glickman L.
        The measurement of cold sensitivity of the hand.
        J Hand Surg. 1991; 16A: 1037-1040
        • Levine DW
        • Simmons BP
        • Koris MJ
        • et al.
        A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome.
        J Bone Joint Surg. 1993; 75A: 1585-1592
        • Koman LA
        • Smith BP
        • Smith TL.
        Stress testing in the evaluation of upper-extremity perfusion.
        Hand Clin. 1993; 9: 59-83
        • Nilsson GE
        • Tenland T
        • Öberg PÅ.
        Evaluation of a laser Doppler flowmeter for measurement of tissue blood flow.
        IEEE Trans Biomed Eng. 1980; 27: 597-604
        • Wårdell K.
        Laser Doppler perfusion imaging: methodology and skin applications. Linköping studies in science and technology dissertations. No. 329.
        in: : Linköping University, Linköping, Sweden1994: 9-27
        • Wenger DR
        • Boyer DW
        • Sandzén SC.
        Traumatic aneurysm of the radial artery in the anatomical snuff box—a report of two cases.
        Hand. 1980; 12: 266-270
        • Richards RR
        • Urbaniak JR.
        Spontaneous retrocarpal radial artery thrombosis: a report of two cases.
        J Hand Surg. 1984; 9A: 823-827
        • Kleinert JM
        • Fleming SG
        • Abel CS
        • Firrell J.
        Radial and ulnar artery dominance in normal digits.
        J Hand Surg. 1989; 14A: 504-508
        • Lee BY
        • Kim KK
        • Madden JL.
        True aneurysm of the radial artery: report of a case with long-term follow-up.
        J Am Geriat Soc. 1977; 25: 376-378
        • Mays ET.
        Traumatic aneurysm of the hand.
        Am Surg. 1970; 36: 552-557
        • Orhewere FA.
        Post-traumatic aneurysm of the radial artery at the wrist.
        BMJ. 1966; 2: 1501-1502
        • Narsete EM.
        Traumatic aneurysm of the radial artery.
        Am J Surg. 1964; 108: 424-427
        • Ho PK
        • Weiland AJ
        • McClinton MA
        • Wilgis EFS.
        Aneurysms of the upper extremity.
        J Hand Surg. 1987; 12A: 39-46
        • Flanigan DP.
        Aneurysms of the peripheral arteries.
        in: 4th ed. Vascular surgery: a comprehensive review. : WB Saunders, Philadelphia1993: 424-434