All vascular disease specialists encounter occasional patients with xed or intermittent upper extremity ischemia, a group estimated to comprise about 5% of patients with limb ischemia. A large majority of patients with upper extremity ischemia complaints have only intermittent vasospasm of the hands and ngers, a condition termed Raynaud’s syndrome (RS). An estimated 5%–10% of patients with upper extremity ischemia symptoms have severe hand and nger ischemia or digital ischemia ulceration associated with xed arterial occlusive disease of the palmar and digital arteries. Only a small percentage of these patients develop distal arterial occlusion as a result of potentially correctable arterial obstruction at or proximal to the wrist, including proximal subclavian and innominate atherosclerosis, subclavian aneurysms with or without a coexistent cervical rib, subclavian and upper extremity giant cell arteritis, radiation arteritis and associated disorders. e discussion that follows will focus on both upper extremity vasospasm and xed arterial.
|Original language||English (US)|
|Title of host publication||Vascular Surgery|
|Subtitle of host publication||Principles and Practice, Fourth Edition|
|Number of pages||13|
|Publication status||Published - Jan 1 2017|
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