Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Revascularization of the chronically ischemic hand.

W C Pederson1

  • 1Hand Center of San Antonio, Texas, USA. micro1@ix.netcom.com

Hand Clinics
|November 24, 1999
PubMed
Summary

Chronic upper extremity ischemia can be treated with combined macro- and microvascular surgery, offering limb salvage over amputation. Direct revascularization is preferred, while indirect methods also provide improvement.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

San Antonio military and civilian hand transplantation program: a case report.

Transplantation proceedings·2011
Same author

Medical and surgical considerations in patients with vasculitis and Raynaud's syndrome.

Foot and ankle clinics·2002
Same author

Upper extremity microsurgery.

Plastic and reconstructive surgery·2001
Same author

Replantation.

Plastic and reconstructive surgery·2001
Same author

Ischaemia of the index finger and thumb secondary to thrombosis of the radial artery in the anatomical snuffbox.

Journal of hand surgery (Edinburgh, Scotland)·1998
Same author

Surgical techniques for revascularization in the chronically ischemic hand.

Techniques in hand & upper extremity surgery·1997

Area of Science:

  • Vascular Surgery
  • Microsurgery
  • Hand Surgery

Background:

  • Chronic ischemia of the upper extremity presents significant challenges for reconstructive hand surgeons.
  • Limb salvage is a critical goal, often necessitating advanced surgical techniques.

Purpose of the Study:

  • To review the combined macro- and microvascular approaches for managing chronic upper extremity ischemia.
  • To evaluate the efficacy of direct and indirect revascularization techniques.

Main Methods:

  • Review of combined macrovascular and microvascular surgical strategies.
  • Discussion of direct revascularization techniques.
  • Analysis of indirect approaches including arterialization of the venous system and free omental transfer.

Main Results:

  • Combined macro- and microvascular approaches enable limb salvage in many cases, avoiding amputation.
  • Direct revascularization is the optimal approach when feasible.
  • Indirect methods, such as arterialization of the venous system and free omental transfer, can offer improvement but require microsurgical expertise.

Conclusions:

  • Limb salvage for chronic upper extremity ischemia is achievable through combined macro- and microvascular surgery.
  • Direct revascularization should be prioritized.
  • Indirect techniques are valuable but should be employed cautiously by less experienced microsurgeons.

Related Experiment Videos