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Percutaneous transluminal angioplasty for treatment of critical hand ischemia with a novel endovascular approach: The radial to ulnar artery loop technique
Journal of Vascular Surgery, 09/29/09
Gandini R et al. – A 44–year–old patient with type I diabetes with critical upper limb ischemia of the left hand was referred to the department with ischemic tissue loss and rest pain. After unsuccessful use of the endovascular antegrade approach, retrograde revascularization with percutaneous transluminal angioplasty of the ulnar artery and the Palmar arch through the radial artery was successfully performed. Relief of the patient's symptoms was immediate and ischemic lesions were healed at 6–month follow–up.
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