| Angioplasty of ulnar or radial arteries to treat critical hand ischemia: use of 3- and 4-French systems. | |
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MedLine Citation:
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PMID: 20839345 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The aim of this preliminary study is to report the results of catheter-based treatment for isolated distal upper extremity artery disease with CHI. BACKGROUND: Critical hand ischemia (CHI) is a rare but potentially devastating condition. METHODS: The study consisted of five critically ischemic hands (Rutherford category 4: 2, Rutherford category 5: 3) in four patients undergoing catheter intervention for isolated distal upper extremity artery disease between November 2007 and April 2009. RESULTS: Balloon angioplasty via an antegrade brachial approach was performed with a 3Fr or 4Fr sheath to achieve the principal endpoint of the establishment of one straight-line flow to the palmar arch. All patients had end-stage renal disease requiring chronic hemodialysis. The target vessels were the ulnar artery in four cases, the radial artery in one, and the palmar arch in two. Four cases had a stenotic lesion and one had chronic total occlusion. Technical success was achieved in all cases without complications, and skin perfusion pressure of the hand improved significantly from 39 ± 20 to 52 ± 16 (P = 0.019) on the palmar side and from 40 ± 18 to 60 ± 29 on the dorsal side (P = 0.046). Clinical success was achieved in all cases during a mean follow-up period of 11 ± 8 (2-19) months. CONCLUSIONS: Percutaneous angioplasty using contemporary dedicated devices could be a potentially useful option for CHI patients with isolated distal upper extremity artery disease. |
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Authors:
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Osami Kawarada; Yoshiaki Yokoi; Akihiro Higashimori |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 76 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-14 Completed Date: 2011-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 345-50 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Kishiwada Tokushukai Hospital, Kishiwada-City, Osaka, Japan. kawarada90@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon / instrumentation* Arterial Occlusive Diseases / complications, physiopathology, radiography, therapy* Catheters* Constriction, Pathologic Critical Illness Equipment Design Hand / blood supply* Humans Ischemia / etiology, physiopathology, radiography, therapy* Kidney Failure, Chronic / complications, therapy Male Middle Aged Radial Artery* / physiopathology, radiography Regional Blood Flow Renal Dialysis Treatment Outcome Ulnar Artery* / physiopathology, radiography |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2010 Sep 1;76(3):351
[PMID:
20839346
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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