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[Arteriography in Raynaud's phenomenon].

M Reggi, A Monin, R Courbier

    Journal Des Maladies Vasculaires
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Angiography reveals arterial lesions in all patients with Raynaud's phenomenon, correlating with clinical severity but not always etiology. This imaging may be beneficial for specific Raynaud's cases with known causes.

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    Area of Science:

    • Vascular Medicine
    • Radiology
    • Rheumatology

    Background:

    • Raynaud's phenomenon involves episodic digital ischemia.
    • Clinical severity is graded, with digital gangrene representing the most severe form.
    • Understanding the underlying vascular changes is crucial for management.

    Purpose of the Study:

    • To evaluate the utility of bilateral upper limb arteriography in patients with Raynaud's phenomenon.
    • To correlate angiographic findings with clinical severity and etiology.
    • To determine the indications for arteriography in Raynaud's phenomenon.

    Main Methods:

    • Bilateral upper limb arteriography under general anesthesia was performed in 64 patients.
    • Patients were classified based on clinical severity using an adapted Porter's scale (grades 1-4).

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  • Etiology was categorized into connective tissue diseases, other causes, or undefined.

    • Main Results:

    • All 64 patients exhibited arterial lesions.
    • Forearm artery lesions (31%) predominantly affected the ulnar artery.
    • Palmar anastomosis absence was noted in 55% of cases; digital and collateral digital artery lesions were frequent.

    Conclusions:

    • Arterial lesions in Raynaud's phenomenon correlate with clinical severity.
    • Angiographic findings are generally independent of the etiology.
    • Arteriography may be indicated for Raynaud's phenomenon with a defined etiology, but less so for undefined cases.