Novel strategy for percutaneous transluminal angioplasty for complex critical hand

A 60-year-old patient with end-stage renal disease was referred to our institute with ischemic tissue loss and pain at rest of the fourth finger of the left hand. Lesions involved the subclavian artery, the brachial artery, the ulnar artery, the radial artery and the palmer arch. After successful angioplasty with noble technique, patient's symptoms were disappeared immediately and ischemic lesions were healed at only 1-month follow-up. This interesting case report may illustrate a help of treatment strategy of critical hand ischemia with complex lesions.