Outcomes of sympathectomy and vascular bypass for digital ischaemia in connective tissue disorders

All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995–2013 were reviewed. The durable resolution of ulcers was significantly higher in patients treated by periarterial...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2017-10, Vol.42 (8), p.823-826
Main Authors: Shammas, R. L., Hwang, B. H., Levin, L. S., Richard, M. J., Ruch, D. S., Mithani, S. K.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Connective Tissue Diseases - complications
Connective Tissue Diseases - surgery
Female
Fingers - blood supply
Humans
Ischemia - etiology
Ischemia - surgery
Male
Middle Aged
Retrospective Studies
Sympathectomy
Treatment Outcome
Young Adult
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Summary:All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995–2013 were reviewed. The durable resolution of ulcers was significantly higher in patients treated by periarterial sympathectomy and bypass than in patients treated by periarterial sympathectomy alone. Although there were more digital amputations in patients treated by periarterial sympathectomy alone, the difference was not statistically significant. Vascular bypass in conjunction with sympathectomy may be better than sympathectomy alone in patients with digital ischaemia related to connective tissue disorders. Level of evidence: IV
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193417718784