Abstract
We report a case of bypass grafting to a distal radial artery at wrist necessitated by severe upper limb ischemia. A 70-year-old man presented cyanosis, coldness, pain and hypesthesia in right hand, and was referred to us for necrosis of the right 4th finger. Angiography revealed occlusion of the radial and ulnar artery, and distal radial artery was visualized with collateral blood flow from interosseous artery. Because of expansion of necrosis, right brachial-distal radial artery bypass grafting with the great saphenous vein was performed for limb salvage. The patient was well without symptom 11 months after operation. There is a few reports related to forearm bypass grafting, but it is useful method in case of severe upper limb ischemia.
