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Chronic Arterial Ischemia of the Upper Extremity: Diagnosis, Evaluation, and Surgical Management

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Plastic and Reconstructive Surgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Summary

Chronic ischemia of the upper extremity reflects progression of occlusive disease, vasos-pastic disease, or both—vaso-occlusive disease. In contrast to the lower extremity, vasospastic disease is more common and critical in the upper extremity. Although less common in the upper extremity, atherosclerotic disease is functionally more problematic.

When nutritional flow is inadequate for local metabolic demands, chronic ischemia becomes problematic with pain, tissue loss, and persistent infection.

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Abbreviations

DBI:

Digital brachial index

PTA:

Percutaneous angioplasty

PVR:

Pulse volume recordings

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Mark F. Hendrickson

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  1. Mark F. Hendrickson
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Editors and Affiliations

  1. Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Maria Z. Siemionow (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training) (Professor of Surgery, Director of Plastic Surgery Research, Head of Microsurgery Training)

  2. Department of Plastic and Aesthetic, Hand, and Reconstructive Surgery, Caritas-Krankenhaus St. Josef, affiliated with Regensburg University, Regensburg, Germany

    Marita Eisenmann-Klein (Director) (Director)

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Hendrickson, M.F. (2010). Chronic Arterial Ischemia of the Upper Extremity: Diagnosis, Evaluation, and Surgical Management. In: Siemionow, M.Z., Eisenmann-Klein, M. (eds) Plastic and Reconstructive Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-84882-513-0_40

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  • DOI: https://doi.org/10.1007/978-1-84882-513-0_40

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-512-3

  • Online ISBN: 978-1-84882-513-0

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