Long-term successful outcome of severe hand ischemia using arterialization with reversal of venous flow: Case report

作者：Chloros George D^*; Li Zhongyu; Koman L Andrew

来源：Journal of Hand Surgery-American Volume, 2008, 33A(7): 1048-1051.

DOI：10.1016/j.jhsa.2008.02.026

• arterialization
• hand ischemia
• reversal
• unreconstructible lesions
• venous flow

The management of unreconstructible vascular lesions in the hand is a challenge with limited options for treatment. After 22 years of hand ischemia, involving management with reverse interpositional vein grafting, periarterial sympathectomy, and partial finger amputations, a 62-year-old man underwent arterialization of the venous system of the hand for unreconstructible distal vascular lesions as a salvage procedure. At 7-year follow-up, the patient is pain-free with good functional and health-related quality of life outcomes and no further amputations. This procedure may be considered as a salvage alternative to prevent additional amputation in selected patients.

• 出版日期2008-9