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Severe Upper Limb Ischemia
Frank E. Schmidt, MD;
Robert L. Hewitt, MD
Arch Surg. 1980;115(10):1188-1191.
Abstract
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• Severe upper limb ischemia is uncommon, and patterns typical of lower limb ischemia are seldom seen. The conditions of 31 patients with actual or threatened gangrene or severe disability were evaluated from 1969 through 1978. Causes of ischemia included emboli, arteriosclerotic occlusions, trauma, thoracic outlet compression, and small-artery occlusions associated with Raynaud's phenomenon, rheumatoid arthritis, or scleroderma. Five patients had emboli from lesions in peripheral arteries, and two patients had ulnar artery occlusions. Twenty-three patients had operations with no deaths. There was one operative failure. Operative angiograms were used routinely. Patients with emboli from the heart received heparin sodium after operation. Sympathectomy improved the conditions of two patients with Raynaud's phenomenon and of one patient with ulnar artery occlusion. One third of the patients had significant arteriosclerotic lesions in other locations.
(Arch Surg 115:1188-1191, 1980)
Author Affiliations
From the Southern Baptist Hospital, Touro Infirmary, and the Department of Surgery, Tulane University School of Medicine, New Orleans.
Footnotes
Accepted for publication June 19, 1980.
Read before the 14th World Congress of the International Cardiovascular Society, San Francisco, Sept 6, 1979.
Reprint requests to Suite 300, 4440 Magnolia St, New Orleans, LA 70115 (Dr Schmidt).
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