Technical outcomes of below-the-elbow revascularization for upper extremity critical limb ischemia

Vascular. 2023 Oct;31(5):1035-1038. doi: 10.1177/17085381221097310. Epub 2022 May 1.

Abstract

Objectives: This study aims to report the technical results of below-the-elbow arterial revascularization in patients with critical hand ischemia.

Methods: We retrospectively identified upper extremity critical limb ischemia patients treated with below-the-elbow arterial intervention between 2013 and 2017. Patient demographics, comorbidities, and procedural data were reviewed and technical success was evaluated.

Results: Seven patients with 12 arteries that were affected by critical hand ischemia were treated. All patients had a history of end-stage renal disease. The technical success rate was 83.3%. There were no major or minor complications. The average follow-up duration was 9 months (2-26 months). One patient underwent a digital amputation at 8 months.

Conclusion: Arterial revascularization of the below-the-elbow arteries for critical hand ischemia is safe and technically feasible.

Keywords: Vascular; angioplasty; critical limb ischemia; hand; upper extremity.

MeSH terms

  • Arterial Occlusive Diseases* / therapy
  • Chronic Limb-Threatening Ischemia
  • Elbow
  • Humans
  • Ischemia / diagnostic imaging
  • Ischemia / etiology
  • Ischemia / surgery
  • Limb Salvage / adverse effects
  • Lower Extremity / blood supply
  • Peripheral Vascular Diseases*
  • Retrospective Studies
  • Risk Factors
  • Treatment Outcome
  • Upper Extremity / blood supply
  • Vascular Patency