Dokkyo Medical Journal
Online ISSN : 2436-522X
Print ISSN : 2436-5211

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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 TezukaKoji OgataHirotaka OhashiShohei OkuboTaiki MatsuokaShotaro HirotaShohei YokoyamaYuta KanazawaYusuke TakeiGo TsuchiyaTaisuke KonishiIkuko ShibasakiHirotsugu Fukuda
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ジャーナル オープンアクセス 早期公開

論文ID: 2023-065

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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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