Novel Approach to Upper Extremity Ischemia: Radial Artery Bypass Surgery in the Anatomical Snuff Box for Upper Extremity Critical Ischemia Leading To Hand Gangrene: A Case Report

Masahiro Tezuka; Koji Ogata; Hirotaka Ohashi; Shohei Okubo; Taiki Matsuoka; Shotaro Hirota; Shohei Yokoyama; Yuta Kanazawa; Yusuke Takei; Go Tsuchiya; Taisuke Konishi; Ikuko Shibasaki; Hirotsugu Fukuda

doi:10.51040/dkmj.2023-065

Case Report

Novel Approach to Upper Extremity Ischemia: Radial Artery Bypass Surgery in the Anatomical Snuff Box for Upper Extremity Critical Ischemia Leading To Hand Gangrene: A Case Report

Masahiro Tezuka, Koji Ogata, Hirotaka Ohashi, Shohei Okubo, Taiki Matsuoka, Shotaro Hirota, Shohei Yokoyama, Yuta Kanazawa, Yusuke Takei, Go Tsuchiya, Taisuke Konishi, Ikuko Shibasaki, Hirotsugu Fukuda

Author information

Masahiro Tezuka
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Koji Ogata
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Hirotaka Ohashi
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Shohei Okubo
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Taiki Matsuoka
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Shotaro Hirota
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Shohei Yokoyama
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Yuta Kanazawa
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Yusuke Takei
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Go Tsuchiya
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Taisuke Konishi
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Ikuko Shibasaki
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
Hirotsugu Fukuda
Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan

Keywords: Chronic limb threatening ischemia, upper extremity, forearm bypass, anatomical snuff box

JOURNAL OPEN ACCESS

2024 Volume 3 Issue 4 Pages 308-312

DOI https://doi.org/10.51040/dkmj.2023-065

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Abstract

The patient was a 72-year-old man who underwent bypass surgery from the ulnar artery to radial artery in the anatomic snuff box with a small saphenous vein graft for right fourth finger gangrene caused by prolonged wound healing due to chronic limb threatening ischemia of the upper extremity. Postoperative transection of the necrotic finger was performed successfully to protect the upper extremity. Cases of chronic limb threatening ischemia of the upper extremity are rare, and there have been limited studies regarding revascularization of the forearm. We present on this case with a review of literature and describe the unique surgical method we performed during the surgery.

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