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Applications of Vascular Imaging and Interventional Radiology Modalities in the Upper Extremity: A Review

Published:November 01, 2022DOI:https://doi.org/10.1016/j.jhsa.2022.09.016
      Hand and upper extremity (HUE) vascular disorders are encountered frequently by hand surgeons in clinical practice. A wide array of imaging and vascular interventional radiology modalities exists for the diagnosis and treatment of HUE vascular disorders, some of which may not be familiar to the HUE surgeons. In this review article, we summarize the vascular imaging and vascular interventional radiology modalities and their relative advantages, disadvantages, and indications with respect to HUE pathology. We aim to familiarize HUE surgeons with the available types of diagnostic and therapeutic options for HUE vascular pathologies and aid interdisciplinary communication with vascular interventional radiology specialists during the clinical decision-making process.

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      References

        • Ghouri M.A.
        • Gupta N.
        • Bhat A.P.
        • et al.
        CT and MR imaging of the upper extremity vasculature: pearls, pitfalls, and challenges.
        Cardiovasc Diagn Ther. 2019; 9: S152-S173
        • Dave R.B.
        • Fleischmann D.
        Computed tomography angiography of the upper extremities.
        Radiol Clin North Am. 2016; 54: 101-114
        • Madhuripan N.
        • Mehta P.
        • Smolinski S.E.
        • Njuguna N.
        Computed tomography angiography of the extremities in emergencies.
        Semin Ultrasound CT MR. 2017; 38: 357-369
        • Nagpal P.
        • Maller V.
        • Garg G.
        • et al.
        Upper extremity runoff: pearls and pitfalls in computed tomography angiography and magnetic resonance angiography.
        Curr Probl Diagn Radiol. 2017; 46: 115-129
        • Schieda N.
        • Blaichman J.I.
        • Costa A.F.
        • et al.
        Gadolinium-based contrast agents in kidney disease: comprehensive review and clinical practice guideline issued by the Canadian Association of Radiologists.
        Can Assoc Radiol J. 2018; 69: 136-150
        • Vaidya S.
        • Tozer K.R.
        • Chen J.
        An overview of embolic agents.
        Semin Interv Radiol. 2008; 25: 204-215
        • Wang C.Y.
        • Hu J.
        • Sheth R.A.
        • Oklu R.
        Emerging embolic agents in endovascular embolization: an overview.
        Prog Biomed Eng. 2020; 2012003
        • Baum R.A.
        • Baum S.
        Interventional radiology: a half century of innovation.
        Radiology. 2014; 273: S75-S91
        • Mahmoud O.
        • Vikatmaa P.
        • Räsänen J.
        • et al.
        Catheter-directed thrombolysis versus pharmacomechanical thrombectomy for upper extremity deep venous thrombosis: a cost-effectiveness analysis.
        Ann Vasc Surg. 2018; 51: 246-253
        • Evans C.
        • Chaplin T.
        • Zelt D.
        Management of major vascular injuries: neck, extremities, and other things that bleed.
        Emerg Med Clin North Am. 2018; 36: 181-202
        • Mirakhur A.
        • Cormack R.
        • Eesa M.
        • Wong J.K.
        Endovascular therapy for acute trauma: a pictorial review.
        Can Assoc Radiol J. 2014; 65: 158-167
        • Andersen L.V.
        • Lip G.Y.
        • Lindholt J.S.
        • Frost L.
        Upper limb arterial thromboembolism: a systematic review on incidence, risk factors, and prognosis, including a meta-analysis of risk-modifying drugs.
        J Thromb Haemost. 2013; 11: 836-844
        • Heil J.
        • Miesbach W.
        • Vogl T.
        • Bechstein W.O.
        • Reinisch A.
        Deep vein thrombosis of the upper extremity.
        Dtsch Arztebl Int. 2017; 114: 244-249
        • Turner E.J.H.
        • Loh A.
        • Howard A.
        Systematic review of the operative and non-operative management of acute upper limb ischemia.
        J Vasc Nurs. 2012; 30: 71-76
        • Carlon T.A.
        • Sudheendra D.
        Interventional therapy for upper extremity deep vein thrombosis.
        Semin Interv Radiol. 2017; 34: 54-60
        • Koury J.P.
        • Burke C.T.
        Endovascular management of acute upper extremity deep venous thrombosis and the use of superior vena cava filters.
        Semin Interv Radiol. 2011; 28: 3-9
        • Greenfield L.J.
        • Rajagopalan S.
        • Olin J.W.
        Upper extremity arterial disease.
        Cardiol Clin. 2002; 20: 623-631
        • Finlay D.E.
        • Longley D.G.
        • Foshager M.C.
        • Letourneau J.G.
        Duplex and color Doppler sonography of hemodialysis arteriovenous fistulas and grafts.
        Radiogr Rev Publ Radiol Soc N Am Inc. 1993; 13: 983-989
        • Scheible W.
        • Skram C.
        • Leopold G.R.
        High resolution real-time sonography of hemodialysis vascular access complications.
        Am J Roentgenol. 1980; 134: 1173-1176
        • Froger C.L.
        • Duijm L.E.M.
        • Liem Y.S.
        • et al.
        Stenosis detection with MR angiography and digital subtraction angiography in dysfunctional hemodialysis access fistulas and grafts.
        Radiology. 2005; 234: 284-291
        • Chegai F.
        • Gandini R.
        Intraplug coils delivery for fast closure of giant arteriovenous fistulas (AVFs) aneurysm in dialyzed patient.
        Radiol Case Rep. 2020; 15: 163-166
        • Kok H.K.
        • Maingard J.
        • Asadi H.
        • et al.
        Percutaneous dialysis arteriovenous fistula banding for flow reduction – a case series.
        CVIR Endovasc. 2018; 1
        • Bannas P.
        • François C.J.
        • Reeder S.B.
        • Francois C.J.
        • Reeder S.B.
        Magnetic resonance angiography of the upper extremity.
        Magn Reson Imaging Clin N Am. 2015; 23: 479-493
        • Flors L.
        • Leiva-Salinas C.
        • Maged I.M.
        • et al.
        MR imaging of soft-tissue vascular malformations: diagnosis, classification, and therapy follow-up.
        Radiographics. 2011; 31: 1321
        • Dubois J.
        • Garel L.
        Imaging and therapeutic approach of hemangiomas and vascular malformations in the pediatric age group.
        Pediatr Radiol. 1999; 29: 879-893
        • Barton P.P.
        • Waneck R.E.
        • Karnel F.J.
        • Ritschl P.
        • Kramer J.
        • Lechner G.L.
        Embolization of bone metastases.
        J Vasc Interv Radiol. 1996; 7: 81-88
        • O’Neill S.B.
        • O’Connor O.J.
        • Ryan M.F.
        • Maher M.M.
        Interventional radiology and the care of the oncology patient.
        Radiol Res Pr. 2011; 2011160867
        • Ngan H.
        • Lai C.L.
        • Fan S.T.
        • Mai E.C.
        • Yuen W.K.
        • Tso W.K.
        Transcatheter arterial chemoembolization in inoperable hepatocellular carcinoma: four-year follow-up.
        J Vasc Interv Radiol. 1996; 7: 419-425
        • Mohr W.J.
        • Jenabzadeh K.
        • Ahrenholz D.H.
        Cold injury.
        Hand Clin. 2009; 25: 481-496
        • Millet J.D.
        • Brown R.K.J.
        • Levi B.
        • et al.
        Frostbite: spectrum of imaging findings and guidelines for management.
        Radiographics. 2016; 36: 2154-2169
        • Bruen K.J.
        • Ballard J.R.
        • Morris S.E.
        • Cochran A.
        • Edelman L.S.
        • Saffle J.R.
        Reduction of the incidence of amputation in frostbite injury with thrombolytic therapy.
        Arch Surg. 2007; 142: 543-546
        • Cauchy E.
        • Marsigny B.
        • Allamel G.
        • Verhellen R.
        • Chetaille E.
        The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: a retrospective study of 92 severe frostbite injuries.
        J Hand Surg Am. 2000; 25: 969-978
        • Kargiotis O.
        • Siahos S.
        • Safouris A.
        • Feleskouras A.
        • Magoufis G.
        • Tsivgoulis G.
        Subclavian Steal Syndrome with or without Arterial Stenosis: a Review.
        J Neuroimaging. 2016; 26: 473-480
        • Osiro S.
        • Zurada A.
        • Gielecki J.
        • Shoja M.M.
        • Shane Tubbs R.
        • Loukas M.
        A review of subclavian steal syndrome with clinical correlation.
        Med Sci Monit. 2012; 18
        • Rafailidis V.
        • Li X.
        • Chryssogonidis I.
        • et al.
        Multimodality imaging and endovascular treatment options of subclavian steal syndrome.
        Can Assoc Radiol J. 2018; 69: 493-507