scholarly journals Ischemia of the Hand Secondary to Radial Artery Thrombosis: A Report of Three Cases

2003 ◽  
Vol 11 (3) ◽  
pp. 145-148 ◽  
Author(s):  
Sachin A Chitte ◽  
Karen Veltri ◽  
Achilleas Thoma
Keyword(s):  
Radial Artery ◽  
Saphenous Vein ◽  
Arterial Thrombosis ◽  
Saphenous Vein Graft ◽  
Superficial Palmar Arch ◽  
Spontaneous Thrombosis ◽  
Palmar Arch ◽  
Artery Thrombosis ◽  
Common Etiology ◽  
Hypothenar Eminence

Upper extremity arterial thrombosis, though rare, is more prevalent on the ulnar side of the circulation, with the most common etiology being repetitive blunt trauma to the hypothenar eminence. Radial artery thrombosis is even more rare and when it does occur, is associated most often with iatrogenic cannulation, producing subsequent thrombi and emboli. Three cases of spontaneous thrombosis of the radial artery extending to the superficial palmar arch and the princeps pollicis artery are presented here. Two patients underwent thrombectomies and one underwent excision of the thrombosed segment and reconstruction with a reversed saphenous vein graft. The etiology of the thrombus was consistent with cancer in two cases and trauma in one.

scholarly journals Long-Term Postoperative Patency of Radial Artery is Superior to Saphenous Vein Graft

2016 ◽  
Vol 25 ◽  
pp. S50-S51
Author(s):  
A. Royse ◽  
P. Zulfayandi ◽  
O. Jared ◽  
E. David ◽  
A. Andrew ◽  
...  
Keyword(s):  
Radial Artery ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft

Saphenous Vein Graft Aneurysm Repaired with Radial Artery Graft Pre-Sewn Vascular Prosthesis Patch

2017 ◽  
Vol 26 (2) ◽  
pp. e1-e3
Author(s):  
Toshikuni Yamamoto ◽  
Shunei Saito ◽  
Akio Matsuura ◽  
Ken Miyahara ◽  
Haruki Takemura ◽  
...  
Keyword(s):  
Radial Artery ◽  
Saphenous Vein ◽  
Vein Graft ◽  
Saphenous Vein Graft ◽  
Vascular Prosthesis ◽  
Radial Artery Graft ◽  
Artery Graft

Patterns of Arterial Arcades of the Superficial Palmar Arch: A Study In Embalmed Cadaver Palms

2021 ◽  
Vol 9 (3.3) ◽  
pp. 8097-8102
Author(s):  
Suman Udupi ◽  
◽  
Pushpa Gowda ◽  
Keyword(s):  
Radial Artery ◽  
Index Finger ◽  
Ulnar Artery ◽  
Superficial Palmar Arch ◽  
Palmar Arch ◽  
Artery Cannulation ◽  
Complete Type ◽  
Cardio Vascular ◽  
Interesting Area

Background: The complex and variable pattern of the arterial arcades of the palm form an interesting area of study anatomically and surgically. In the present study arches were classified into complete and incomplete types, the complete type being the most prominent in 88.6% of the palms. Among the complete type, arch formed by ulnar artery alone supplying the thumb and index finger was found in majority of the specimens (50%). The classical or standard superficial palmar arch formed by the superficial palmar branch of radial and ulnar arteries was found in only 28.5%. Different patterns of the arterial arcades of the superficial palmar arch are normally encountered during routine anatomical dissections of the palm which needs to be emphasized and highlighted for a desired surgical out come during microvascular reconstructive surgeries of the palm and during radial artery cannulation. Context: With technological advancements in microsurgical procedures of the hand, fields of anatomical interest like the classification of arterial arcades of the palm, now becomes essential for operating vascular surgeons for a desired surgical outcome Purpose of the study: The present study was taken up to analyze and document varying patterns of the arterial arcades of the superficial palmar arch. Methods and Material: the study was conducted by dissecting 70 randomly obtained formalin fixed cadaver palms. Results: In the present study arches were classified into complete and incomplete types, the complete type being the most prominent in 88.6% of the palms. Among the complete type, arch formed by ulnar artery alone supplying the thumb and index finger was found in majority of the specimens (50%). The classical or standard superficial palmar arch formed by the superficial palmar branch of radial and ulnar arteries was found in only 28.5%. Out of the 70 hands, incomplete arches were found only in 8 hands with an incidence of 11.4%. Conclusion: Knowledge of arterial pattern of the hand is very important to vascular and reconstructive surgeons for effective treatment of injuries of the hand. Such a knowledge of the disposition of the arterial arcades of the palm also enables cardio-vascular surgeons to plan and modify surgical procedures such as radial artery harvesting, cannulation and in preventing the ischemia of hands in such procedures. KEY WORDS: Superficial palmar arch, Arterial arcades, Complete arch, Incomplete arch.

scholarly journals Patency of conduits in patients who received internal mammary artery, radial artery and saphenous vein grafts

2019 ◽  
Author(s):  
Alistair Royse ◽  
William Pamment ◽  
Zulfayandi Pawanis ◽  
Sandy Clarke-Errey ◽  
David Eccleston ◽  
...  
Keyword(s):  
Radial Artery ◽  
Saphenous Vein ◽  
Internal Mammary Artery ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Saphenous Vein Graft ◽  
Late Period ◽  
Vein Grafts ◽  
Saphenous Vein Grafts ◽  
Internal Mammary

Abstract Background Where each patient has all three conduits of internal mammary artery (IMA), saphenous vein graft (SVG) and radial artery (RA), most confounders affecting comparison between conduits can be mitigated. Additionally, since SVG progressively fails over time, restricting patient angiography to the late period only can mitigate against early SVG patency that may have occluded in the late period. Objectives The primary analysis was perfect patency and secondary analysis was overall patency including angiographic evidence of conduit lumen irregularity from conduit atheroma. Methods Research protocol driven conventional angiography was performed for patients with at least one of each conduit of IMA, RA and SVG and a minimum of 7 years postoperative. Multivariable generalized linear mixed model (GLMM) was used. Patency excluded occluded or “string sign” conduits. Perfect patency was present in patent grafts if there was no lumen irregularity. Results 50 patients underwent coronary angiography at overall duration postoperative 13.1±2.9, and age 74.3±7.0 years. Of 196 anastomoses, IMA 62, RA 77 and SVG 57. Most IMA were to the left anterior descending territory and most RA and SVG were to the circumflex and right coronary territories. Perfect patency RA 92.2% was not different to IMA 96.8%, P=0.309; and both were significantly better than SVG 17.5%, P<0.001. Patency RA 93.5% was also not different to IMA 96.8%, P=0.169, and both arterial conduits were significantly higher than SVG 82.5%, P=0.029. Grafting according to coronary territory was not significant for perfect patency, P=0.997 and patency P=0.289. Coronary stenosis predicted perfect patency for RA only, P=0.030 and for patency, RA, P=0.007, and SVG, P=0.032. When both arterial conduits were combined, perfect patency, P<0.001, and patency, P=0.017, were superior to SVG. Conclusions All but one patent internal mammary artery or radial artery grafts had perfect patency and had superior perfect patency and overall patency compared to saphenous vein grafts.

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