title: Arterialization of the Venous System for Treatment of Chronic Ischemia in the Hand.
abstract: Symptomatic chronic ischemia of the upper extremity is a difficult condition to treat. At a critical level of ischemia, patients suffer from intractable pain and nonhealing ulcerations and potentially necrosis. When no distal vessels are available for vascular reconstruction, arterialization of the venous system is a salvage procedure that may be considered. This article describes a surgical technique for venous arterialization to improve the vascular supply to the ischemic hand, which can result in decreased pain, wound healing, improved patient function, and limb salvage.
authors.affiliation: Rochester, N.Y.|From the Department of Orthopaedics and Rehabilitation, University of Rochester.
authors.forename: Wenjing
authors.initials: W
authors.lastname: Zeng
authors.affiliation: Rochester, N.Y.|From the Department of Orthopaedics and Rehabilitation, University of Rochester.
authors.forename: Warren C
authors.initials: WC
authors.lastname: Hammert
mesh_terms: D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002908:Chronic Disease; D006225:Hand / Q000098:blood supply* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods*; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D016896:Treatment Outcome