Distal Bypass to the Palmar Arch to Rescue Digital Ischemia Due to Peripheral Artery Disease

Tsukasa Nakamura; Shuji Nobori; Kiyokazu Akioka; Koji Masuda; Shumpei Harada; Masafumi Osaka; Takehisa Matsuyama; Norio Yoshimura; Hidetaka Ushigome

doi:10.3400/avd.cr.18-00011

CASE REPORTS

Distal Bypass to the Palmar Arch to Rescue Digital Ischemia Due to Peripheral Artery Disease

Tsukasa Nakamura , Shuji Nobori, Kiyokazu Akioka, Koji Masuda, Shumpei Harada, Masafumi Osaka, Takehisa Matsuyama, Norio Yoshimura, Hidetaka Ushigome

Author information

Tsukasa Nakamura Corresponding author
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Shuji Nobori
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Kiyokazu Akioka
Department of Surgery, Omihachiman Community Medical Center
Koji Masuda
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Shumpei Harada
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Masafumi Osaka
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Takehisa Matsuyama
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Norio Yoshimura
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine
Hidetaka Ushigome
Department of Organ Transplantation and General Surgery, Kyoto Prefectural University of Medicine

Keywords: distal bypass, palmar arch, upper extremity

JOURNAL OPEN ACCESS

2018 Volume 11 Issue 3 Pages 335-338

DOI https://doi.org/10.3400/avd.cr.18-00011

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Abstract

Digital ischemia is a serious problem in peripheral artery diseases (PAD) patients. Case 1: A 60-year-old woman with large arteriovenous fistula (AVF) complained of digital ischemia symptoms. The patient underwent dissection of AVF and distal bypass to the palmar arch with successful repair. Case 2: A 47-year-old female, diagnosed with renal failure, and scleroderma, complained of a digital gangrene. A bypass was performed from the left brachial artery to the superficial palmar arch. The digital gangrene showed a complete recovery within 2 months after surgery. Distal bypass to the palmar arch thus appears to be a useful procedure to re-establish digital circulation in PAD patients.

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