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Related Experiment Videos

Arterial reconstruction in the upper extremities.

Shunya Shindo1, Atsuo Kojima, Tadao Ishimoto

  • 1Second Department of Surgery, Yamanashi Medical University, Yamanashi, Japan. sshindo@res.yamanashi-med.ac.jp

Vascular
|May 7, 2004
PubMed
Summary

Upper extremity arterial reconstruction is uncommon, with thromboembolism being a frequent cause of occlusion. Bypass surgery below the elbow is a viable option for selected patients, offering successful outcomes.

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Area of Science:

  • Vascular Surgery
  • Upper Extremity Revascularization

Background:

  • Arterial reconstruction in the upper extremities is less common than in the lower extremities.
  • Understanding the unique etiologies and outcomes of upper extremity arterial reconstruction is crucial.

Purpose of the Study:

  • To retrospectively review cases of vascular reconstruction in the upper extremities.
  • To analyze the causes, treatments, and outcomes of arterial reconstruction in the upper extremities.

Main Methods:

  • Retrospective review of 23 patients undergoing vascular reconstruction in the upper extremities between 1985 and 2000.
  • Analysis of occlusion causes, treatment modalities, and graft patency.

Main Results:

  • Atherosclerosis was an infrequent cause of subclavian artery occlusion.

Related Experiment Videos

  • Thromboembolism from the heart was the most common cause of occlusion, particularly in the brachial artery.
  • Seven of eight bypass grafts, including three below the elbow, remained patent for 2–9 years.

    • Conclusions:

    • Upper extremity arterial reconstruction differs significantly from lower extremity procedures.
    • Bypass surgery below the elbow is feasible and successful in select cases.
    • Aggressive treatment of upper extremity ischemia is recommended due to significant morbidity.