Document Detail


Diagnosis and treatment of atraumatic vascular insufficiency of the upper extremity: female smoker's syndrome.
MedLine Citation:
PMID:  8505276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective analysis of 30 angiograms in 29 patients performed at Doctor's Hospital since June of 1989 was carried out. Of these, 15 patients with 16 involved extremities presented with no antecedent trauma and significant symptoms of arterial insufficiency with impending digital necrosis. Eleven were female and four were male. Underlying medical problems included renal failure in four, diabetes in two, scleroderma in two and vasculitis in one. A unique group of six patients had no prior underlying medical problems. All six patients were female and all were smokers. A surprisingly high incidence of major arterial occlusion was noted. The radiographic features appeared distinct from the common causes of vascular insufficiency in the hand, that is, Raynaud's, thromboangiitis obliterans (Buerger's disease), and ulnar artery thrombosis from repetitive microtrauma (hypothenar hammer syndrome). This review is intended to discuss the evaluation and management of this group of patients.
Authors:
J E Sheppard; G T Frazier; D Tamas; E R Weber; M M Moore; R W Satre
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Arkansas Medical Society     Volume:  89     ISSN:  0004-1858     ISO Abbreviation:  J Ark Med Soc     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-07-08     Completed Date:  1993-07-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503069     Medline TA:  J Ark Med Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  604-10     Citation Subset:  IM    
Affiliation:
Arkansas Hand and Microsurgery Center, Little Rock.
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MeSH Terms
Descriptor/Qualifier:
Amputation
Angiography
Arm / blood supply*
Female
Fingers / blood supply
Hand / blood supply
Humans
Ischemia / etiology*,  surgery
Male
Smoking / adverse effects*

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