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Palmar bypass for digital ischemia

Surena Namdari1, Arnold-Peter C Weiss, Wilfred I Carney

  • 1Division of Vascular Surgery and Department of Orthopaedics, Brown Medical School, Rhode Island Hospital, 2 Dudley Street, Providence, RI 02905, USA.

The Journal of Hand Surgery
|October 10, 2007
PubMed

Insights

Successful vein bypass grafting can reverse and prevent digital ischemia in the hand. This surgical technique offers a new approach for treating hand ischemia and necrosis.

Area of Science:

  • Vascular surgery
  • Hand surgery
  • Ischemia research

Background:

  • Vein bypass grafting is established for lower extremity and cardiac ischemia.
  • Limited data exists on its application for digital ischemia in the hand.
  • Common treatments include resection, ligation, and interposition grafting.

Observation:

  • Three cases of digital ischemia in the hand were studied.
  • Vein bypass grafting was performed from the distal forearm to the palmar arch or common digital artery.
  • The procedure aimed to restore blood flow to the affected digits.

Findings:

  • Successful vein bypass grafting was achieved in all three cases.
  • The technique effectively reversed existing digital tip ischemia.
  • It also prevented further progression of ischemia and necrosis.

Implications:

  • Vein bypass grafting is a viable and effective technique for digital ischemia of the hand.
  • This method offers an alternative to traditional treatments.
  • It has the potential to improve outcomes for patients with hand ischemia.

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