| Literature DB >> 30402184 |
Tsukasa Nakamura1, Shuji Nobori1, Kiyokazu Akioka2, Koji Masuda1, Shumpei Harada1, Masafumi Osaka1, Takehisa Matsuyama1, Norio Yoshimura1, Hidetaka Ushigome1.
Abstract
Digital ischemia is a serious problem in peripheral artery diseases (PAD) patients. Case 1: A 60-year-old woman with large arteriovenous fistula (AVF) complained of digital ischemia symptoms. The patient underwent dissection of AVF and distal bypass to the palmar arch with successful repair. Case 2: A 47-year-old female, diagnosed with renal failure, and scleroderma, complained of a digital gangrene. A bypass was performed from the left brachial artery to the superficial palmar arch. The digital gangrene showed a complete recovery within 2 months after surgery. Distal bypass to the palmar arch thus appears to be a useful procedure to re-establish digital circulation in PAD patients.Entities:
Keywords: distal bypass; palmar arch; upper extremity
Year: 2018 PMID: 30402184 PMCID: PMC6200604 DOI: 10.3400/avd.cr.18-00011
Source DB: PubMed Journal: Ann Vasc Dis ISSN: 1881-641X