title: Successful hand revascularization with urokinase following a crush injury.
abstract: Acute hand ischemia is a medical emergency requiring immediate treatment. We report a case of acute hand ischemia due to a crush injury of the wrist. Management with urokinase was successful in reestablishing flow to the ulnar artery and the digital vessels. In the setting of acute trauma with extensive thrombosis of the vessels of the hand, thrombolytic therapy may offer a better treatment option than surgical exploration with bypass grafting.
authors.affiliation: Department of Surgery, Oregon Health Sciences University, Portland Veterans Administration Medical Center 97201-3098, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Wheatley
authors.forename: R
authors.initials: R
authors.lastname: Swift
mesh_terms: D000792:Angiography; D000818:Animals; D001733:Bites and Stings / Q000601:surgery*; D001864:Bone Wires; D003131:Combined Modality Therapy; D004630:Emergencies; D005260:Female; D006225:Hand / Q000098:blood supply*; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006736:Horses; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000293:injuries; D015912:Thrombolytic Therapy; D017535:Ulnar Artery / Q000000981:diagnostic imaging / Q000293:injuries; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*; D014954:Wrist Injuries / Q000601:surgery*
chemical_list: D014568:Urokinase-Type Plasminogen Activator