Assessment of One Year Surgery in the Opening of Occlusion of Arteries in the upper Extremity; at Imam Hossain Hospital

Message:
Abstract:
Introduction &
Objective
Occlusion of one artery in the upper extremity in some cases results in severe hand ischemia, such as resting pain or gangrene and may lead to mild hand ischemia, such as hand claudication or fatigue. After radial artery harvest, revascularization of the artery can be useful, despite compensatory dilatation of ulnar artery.
Materials and Methods
Fifteen patients who had one artery occluded in their upper extremity underwent operations and were revascularised with end to end anastomosis or vein graft or prosthetic graft, and the arteries were repaired with 8.0- 10.0 prolen and evaluated for one year.
Results
14 patients, out of 15, whose upper extremity was perfused by repaired artery 93%) were open until 5 months; after 12 months, 13 repaired arteries were patent (86.6%) and 2 arteries were occluded (13.4%).
Conclusions
Occlusion one of the main arteries in the upper extremity can be a problem for both patient and surgeon. In some patients, especially in musicians and labor, this can produce spasm of the finger and wrist. In these cases, recanalization of artery is mandatory.
Language:
Persian
Published:
Iranian Journal of Surgery, Volume:22 Issue: 2, 2014
Page:
27
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