Arterial surgery for arm ischemia. A survey of 136 patients

A series of 136 patients with upper extremity ischemia requiring operative correction is presented. Causes of the ischemia included trauma, atherosclerosis, embolism, iatrogenic causes, radiation injury, and cervical rib syndrome. Operations included primary repair, various bypass grafts and embolec...

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Bibliographic Details
Published in:Annals of surgery 1980-06, Vol.191 (6), p.727-737
Main Authors: Holleman, Jr, J H, Hardy, J D, Williamson, J W, Raju, S, Neely, W A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Arm - blood supply
Arteriosclerosis - surgery
Axillary Artery - injuries
Axillary Artery - surgery
Brachial Artery - surgery
Child, Preschool
Female
Humans
Humeral Fractures - surgery
Ischemia - surgery
Male
Middle Aged
Saphenous Vein - transplantation
Staphylococcal Infections - surgery
Subclavian Artery - injuries
Subclavian Artery - surgery
Subclavian Steal Syndrome - surgery
Transplantation, Autologous
Wounds, Gunshot - surgery
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Summary:A series of 136 patients with upper extremity ischemia requiring operative correction is presented. Causes of the ischemia included trauma, atherosclerosis, embolism, iatrogenic causes, radiation injury, and cervical rib syndrome. Operations included primary repair, various bypass grafts and embolectomy. Illustrative case reports are used to emphasize important points. The subclavian, axillary and brachial arteries have been considered separately. In general, ischemia of the arm caused by a discrete lesion is amenable to surgical correction with an excellent change of success.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-198006000-00011