Arterialization of the Venous System for Treatment of Chronic Ischemia in the Hand. Issue 4 (April 2016)

• Record Type: Journal Article
• Authors: Zeng, Wenjing; Hammert, Warren C.
• Is Part Of: Plastic and reconstructive surgery. Volume 137:Issue 4(2016:Apr.)
• Publication Date: 2016-04
• Subjects: Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/PRS.0000000000002007
• Languages: English
• ISSNs: 0032-1052

Abstract

Abstract : Summary: Symptomatic chronic ischemia of the upper extremity is a difficult condition to treat. At a critical level of ischemia, patients suffer from intractable pain and nonhealing ulcerations and potentially necrosis. When no distal vessels are available for vascular reconstruction, arterialization of the venous system is a salvage procedure that may be considered. This article describes a surgical technique for venous arterialization to improve the vascular supply to the ischemic hand, which can result in decreased pain, wound healing, improved patient function, and limb salvage. Abstract : Supplemental Digital Content is available in the text.