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Successful Revascularization for Delayed Presentation of Radiation-Induced Distal Upper Extremity Ischemia
Annals of Vascular Surgery, 11/09/09
Goldstein LJ et al. – The authors present a case of a 42–year–old male presenting with acute hand ischemia 36 years after being treated with forearm radiation for Ewing's sarcoma. Angiography demonstrated a patent brachial artery, occluded radial and ulnar arteries in the forearm, and a normal–caliber reconstituted radial artery at the anatomical snuffbox feeding a patent palmar arch. Transluminal balloon angioplasty was attempted initially without improvement. The patient was successfully revascularized with a reversed saphenous vein graft bypass from the distal brachial artery to the distal radial artery.
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