| Idiopathic neonatal ischemia in the upper limb: the role of the microsurgeon. | |
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MedLine Citation:
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PMID: 18726833 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Idiopathic neonatal limb ischemia remains a rare occurrence. It is a devastating process that leads to complete or partial loss of affected limb or severe deformity. The main treatments over the years have been conservative and nonsurgical, such thrombolysis. Surgical treatment has traditionally been delayed until a line of demarcation is clear, at which time amputation of the limb proceeds. We present a case of idiopathic upper limb ischemia in a newborn, where it was clear that nonsurgical management would result in limb necrosis. A thrombus extended from the brachial bifurcation into both ulnar and radial arteries to the wrist. The plastic surgery team performed surgical decompression and microsurgical open thrombectomy to successfully reestablish the circulation to the affected hand. Eight months later, the child remains well. This is the first reported case in the literature where an idiopathic thrombus blocking the brachial, radial, and ulnar arteries is successfully treated microsurgically. |
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Authors:
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Elisabeth Zetlitz; Eva Weiler-Mithoff; Tom Turner |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-08-22 |
Journal Detail:
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Title: American journal of perinatology Volume: 25 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-10-21 Completed Date: 2008-12-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 513-6 Citation Subset: IM |
Affiliation:
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Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, United Kingdom. elisabethz@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Arm / blood supply* Brachial Artery / physiopathology Decompression, Surgical Female Humans Infant, Newborn Ischemia / etiology, physiopathology, radiography, surgery* Microsurgery Radial Artery / surgery Regional Blood Flow Thrombectomy / methods* Thrombosis / complications*, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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