title: Management of acute ischemia of the upper extremity.
abstract: Records of 76 patients who presented with ischemia of the upper extremity from 1966 to 1981 were reviewed. Patients were divided into three groups according to cause: Group 1, emboli from the artery; Group 2, ischemia after catheter injury; and Group 3, ischemia due to lesions of the axillary and subclavian arteries. Management varied among the three groups. Long-term anticoagulation therapy was helpful in Group 1 patients in preventing reembolization. Forty percent of patients with catheter-related trauma required angioplasty of some sort in addition to embolectomy. Management of Group 3 patients was most difficult and the results least acceptable (three patients required amputation). Management of this type of ischemia must be individualized; it should vary according to the underlying disorder.
mesh_terms: D000208:Acute Disease; D000925:Anticoagulants / Q000627:therapeutic use; D001132:Arm / Q000098:blood supply*; D001366:Axillary Artery / Q000473:pathology; D006328:Cardiac Catheterization / Q000009:adverse effects; D004617:Embolism / Q000150:complications / Q000601:surgery; D006225:Hand / Q000098:blood supply*; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D013348:Subclavian Artery / Q000473:pathology; D013901:Thoracic Outlet Syndrome / Q000473:pathology
chemical_list: D000925:Anticoagulants