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Upper extremity arterial disease.

Lazar J Greenfield1, Sanjay Rajagopalan, Jeffrey W Olin

  • 1Department of Surgery, University of Michigan, 2101 Taubman Center/Box 0346, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-0346, USA. lazarg@med.unich.edu

Cardiology Clinics
|December 11, 2002
PubMed
Summary

Upper extremity arterial disease, though less common than lower limb issues, presents with symptoms like arm claudication. Diagnosis involves clinical exams and vascular studies, with atherosclerosis being a primary cause.

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Area of Science:

  • Vascular Surgery
  • Cardiovascular Medicine
  • Peripheral Arterial Disease

Background:

  • Upper extremity arterial disease (UEAD) is less prevalent than lower extremity involvement.
  • UEAD can manifest as arm claudication, Raynaud's syndrome, rest pain, ischemic ulcerations, or gangrene.
  • The condition may indicate an underlying systemic disorder.

Purpose of the Study:

  • To summarize the presentation, diagnosis, and treatment of upper extremity arterial disease.
  • To highlight the diagnostic modalities and therapeutic options for UEAD.

Main Methods:

  • Review of clinical presentation and diagnostic approaches for UEAD.
  • Discussion of common etiologies, including atherosclerosis.
  • Overview of treatment strategies, encompassing pharmacological and surgical interventions.

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Main Results:

  • Atherosclerotic disease is the leading cause of large vessel obstruction in the upper extremities.
  • Embolization and thromboembolism are mechanisms for small vessel obstruction.
  • Treatment is tailored to the underlying cause, ranging from medication to surgical procedures.

Conclusions:

  • Effective management of UEAD requires a comprehensive diagnostic workup.
  • Treatment options for UEAD are diverse, including medical management, endarterectomy, bypass, angioplasty, and stenting.