Interpretation of upper extremity arteriography: Vascular anatomy and pathology

Victor W. Wong, Ryan D. Katz, James P. Higgins

Research output: Contribution to journalReview article

Abstract

Understanding the utility and interpretation of upper extremity angiography is critical for the hand surgeon treating vaso-occlusive diseases of the hand. Although invasive and requiring the use of contrast dye, it remains the gold standard for imaging of the vascular system of the upper extremity. Angiography may detect numerous variants of the upper limb arterial system which may contribute to surgical pathology. Extensive vascular collateralization helps to maintain perfusion to the hand and facilitates reconstruction of the upper extremity. It is paramount to remember that angiography is a dynamic study and should represent a "flexible roadmap" for surgical reconstruction.

Original languageEnglish (US)
Pages (from-to)121-134
Number of pages14
JournalHand clinics
Volume31
Issue number1
DOIs
StatePublished - Feb 1 2015

Keywords

  • Angiography
  • Arteriography
  • Hypothenar hammer
  • Ischemia
  • Thrombosis
  • Vascular disease

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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