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Severe upper limb ischemia

F E Schmidt, R L Hewitt

    Archives of Surgery (Chicago, Ill. : 1960)
    |October 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Severe upper limb ischemia, though uncommon, presents unique challenges. Surgical interventions offer a viable treatment option with a low mortality rate for patients facing severe outcomes.

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    Area of Science:

    • Vascular Surgery
    • Peripheral Artery Disease
    • Ischemia Management

    Background:

    • Severe upper limb ischemia is a rare condition.
    • Patterns of ischemia differ from those typically seen in lower limbs.
    • This study reviews cases from 1969-1978.

    Purpose of the Study:

    • To evaluate the conditions and outcomes of patients with severe upper limb ischemia.
    • To identify the causes and effective treatments for upper limb ischemia.
    • To analyze surgical success rates and associated conditions.

    Main Methods:

    • Retrospective review of 31 patients with threatened gangrene or severe disability.
    • Analysis of causes including emboli, arteriosclerosis, trauma, and thoracic outlet compression.

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  • Evaluation of surgical interventions, operative angiograms, and medical management (heparin, sympathectomy).

    • Main Results:

    • Twenty-three patients underwent operations with no reported deaths.
    • One operative failure occurred.
    • Emboli from peripheral artery lesions and ulnar artery occlusions were noted causes.
    • Sympathectomy provided benefit in specific cases (Raynaud's, ulnar artery occlusion).
    • One-third of patients had concurrent arteriosclerotic lesions elsewhere.

    Conclusions:

    • Surgical treatment for severe upper limb ischemia is effective with low mortality.
    • Diverse etiologies require tailored treatment approaches.
    • Associated arteriosclerotic disease is common and should be considered.