AI Article Synopsis
- A 37-year-old man who had a wrist amputation and reimplantation 20 years ago developed ischemia in his hand, resulting in fingertip ulcerations.
- Tests showed no blood flow in his hand, and an angiogram revealed that his radial artery was blocked.
- After an initial balloon angioplasty failed, further procedures using ultrasound and laser techniques restored blood flow, healed his symptoms, and kept his artery open for 2 years.
Article Abstract
Limb reimplantation is widely described, but there are sparse reports of limb ischemia complications. We present the case of a patient with hand reimplantation who developed limb-threatening ischemia 20 years later. The patient is a 37-year-old man with a history of traumatic wrist amputation and reimplantation who presented with fingertip ulcerations. Testing demonstrated ischemic digit pressures and no flow in the palmar arch. The initial angiogram demonstrated radial artery occlusion. Balloon angioplasty had initial success; however, the loss of primary patency prompted repeat angiography with the use of intravascular ultrasound and laser atherectomy. His symptoms and wounds resolved, with normalized digit pressures. His radial artery remains patent after 2 years.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11063588 | PMC |
| http://dx.doi.org/10.1016/j.jvscit.2024.101492 | DOI Listing |
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