Document Detail


Distal radial artery lesion as a source of digital emboli.
MedLine Citation:
PMID:  9786269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ischemic changes of the digits caused by emboli are rare. When they do occur, the typical sites of origin include the heart, the proximal subclavian artery, and the thoracic outlet. Dialysis access or iatrogenic injuries may be a more distal source of emboli. Two patients, each with embolization to the thumb and index finger from a lesion in the anatomical snuff-box, were studied. Neither patient had any other atherosclerotic occlusive disease, and both lesions occurred precisely where the extensor pollicis longus crossed the artery and would be expected to compress it against the proximal epiphysis of the first metacarpal when the hand was closed. These lesions were excised, and bypass was performed, with rapid resolution of symptoms. This is an unusual cause of digital embolization that should be considered in patients with emboli to the thumb and index finger.
Authors:
G M Longo; A C Friedman; R R Hollins; C J Buresh; B T Baxter
Related Documents :
10800829 - Pulmonary embolectomy in a child.
14652839 - Does the sequence of clamp application during open abdominal aortic aneurysm surgery in...
7955869 - Percutaneous aspiration thromboembolectomy: a preliminary experience.
2317979 - Leiomyosarcoma of the popliteal artery. a report of two cases.
17898199 - Anterior cerebral artery emboli in combined intravenous and intra-arterial rtpa treatme...
17632599 - An international surgical collaboration for the management of pulmonary artery sarcoma:...
8127099 - Effect of surgical preparation and arterialization on vasomotion of human saphenous vein.
18512489 - Differential profile of the opg/rankl/rank-system in degenerative aortic native and bio...
2225049 - Evaluation of catheters and metallic catheter markers as calibration standard for measu...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  28     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1998-11-05     Completed Date:  1998-11-05     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  710-4     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Nebraska Medical Center, Omaha 68198-3280, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Arteriosclerosis / complications
Embolism / etiology*
Female
Fingers / blood supply*
Humans
Ischemia / etiology
Middle Aged
Peripheral Vascular Diseases / complications,  pathology,  radiography
Radial Artery* / pathology,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Mycotic axillary artery aneurysm.
Next Document:  Abdominal aortic aneurysm in a young child: a 25-year follow-up study.