title: Revascularization of the ischemic hand with arterialization of the venous system.
abstract: Chronic ischemia in the upper extremity is a challenging condition for both patients and surgeons. When ischemia reaches a critical level, tissue loss ensues, which results in necrosis of fingers at various levels. Amputation of necrotic digits, without addressing the etiology of the necrosis, often results in wound-healing problems and more proximal amputations. The purpose of this report was to describe a surgical technique that improves vascular supply to the hand and allows for healing of the amputation sites and relief of pain through arterialization of the venous system.
authors: Department of Orthopedic Surgery, Division of Plastic Surgery, University of Rochester Medical Center, Rochester, NY 14642, USA.
authors: Marissa R
authors: MR
authors: Matarrese
authors: Warren C
authors: WC
authors: Hammert
mesh_terms: D000671:Amputation, Surgical; D002908:Chronic Disease; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000503:physiopathology / Q000601:surgery*; D009336:Necrosis / Q000601:surgery; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D034941:Upper Extremity / Q000098:blood supply* / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*