3 cases of hand ischemia associated with radial artery occlusion in the first web space. |
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Case 1. |
Case 2: more severe problem: ulnar artery is occluded as well. This patient signed out of the ICU AMA to have a smoke (5 pack a day - yeeow!) |
Case 3: More focal problem, thumb and index ischemia: Arteriogram: |
Case 3: I think that this tight fascial band in the FDIO (Littlers under the left, artery visible to the right) contributed mechanically. |
Case 3: Again, a distally branching vein graft to reconstruct inflow to both thumb and palmar arch. |
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retrocarpal radial artery digital artery emboli finger revascularization |
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