Bypass surgery in a mangled forearm using an intramedullary tunnel through the radius

Freek van 't Land; Berry Cleffken; Bram Fioole

doi:10.1016/j.jvs.2019.08.265

Bypass surgery in a mangled forearm using an intramedullary tunnel through the radius

J Vasc Surg. 2020 Jan;71(1):252-254. doi: 10.1016/j.jvs.2019.08.265. Epub 2019 Nov 11.

Authors

Freek van 't Land¹, Berry Cleffken², Bram Fioole³

Affiliations

¹ Department of Vascular Surgery, Maasstad Hospital, Rotterdam, The Netherlands. Electronic address: landf2@maasstadziekenhuis.nl.
² Department of Trauma Surgery, Maasstad Hospital, Rotterdam, The Netherlands.
³ Department of Vascular Surgery, Maasstad Hospital, Rotterdam, The Netherlands.

PMID: 31727455
DOI: 10.1016/j.jvs.2019.08.265

Abstract

Critical ischemia in the upper extremity is rare. A surgical bypass is thought to be the superior treatment option. We describe a rare case where regular tunneling options of the bypass were not available and an intramedullary tunnel was used.

Keywords: Critical ischemia; Hand ischemia; Intramedullary bypass; Peripheral arterial disease.

Publication types

Case Reports

MeSH terms

Brachial Artery / diagnostic imaging
Brachial Artery / physiopathology
Brachial Artery / surgery*
Critical Illness
Forearm / blood supply*
Forearm Injuries / complications*
Forearm Injuries / diagnostic imaging
Forearm Injuries / physiopathology
Humans
Ischemia / diagnostic imaging
Ischemia / etiology
Ischemia / physiopathology
Ischemia / surgery*
Male
Middle Aged
Radial Artery / diagnostic imaging
Radial Artery / injuries
Radial Artery / physiopathology
Radial Artery / surgery*
Radius / diagnostic imaging
Radius / surgery*
Saphenous Vein / transplantation*
Treatment Outcome
Vascular System Injuries / complications*
Vascular System Injuries / diagnostic imaging
Vascular System Injuries / physiopathology