{"title":"下鱼际锤综合征所致尺动脉及掌浅弓广泛狭窄行动脉旁路治疗1例。","authors":"Fumikazu Tamura, Kaoru Sasaki, Junya Oshima, Yoichiro Shibuya, Masahiro Sasaki, Yukiko Aihara, Mitsuru Sekido","doi":"10.3400/avd.cr.24-00060","DOIUrl":null,"url":null,"abstract":"<p><p>We present a case of arterial bypass for extensive stenosis of the ulnar artery and superficial palmar arch. The ulnar artery and the superficial palmar arch were bypassed using the great saphenous vein. Postoperatively, blood flow to the affected fingers gradually improved and the pain disappeared. Contrast-enhanced CT showed good visualization of the superficial palmar arch and more distal digital arteries. Considering the slow improvement in blood flow and the dilation of the stenotic finger artery postoperatively, it appeared that there was a significant effect of spasm in addition to organic stenosis preoperatively and that revascularization was an effective treatment.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 4","pages":"405-408"},"PeriodicalIF":0.6000,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669018/pdf/","citationCount":"0","resultStr":"{\"title\":\"A Case of Arterial Bypass for Extensive Stenosis of the Ulnar Artery and Superficial Palmar Arch due to Hypothenar Hammer Syndrome.\",\"authors\":\"Fumikazu Tamura, Kaoru Sasaki, Junya Oshima, Yoichiro Shibuya, Masahiro Sasaki, Yukiko Aihara, Mitsuru Sekido\",\"doi\":\"10.3400/avd.cr.24-00060\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>We present a case of arterial bypass for extensive stenosis of the ulnar artery and superficial palmar arch. The ulnar artery and the superficial palmar arch were bypassed using the great saphenous vein. Postoperatively, blood flow to the affected fingers gradually improved and the pain disappeared. Contrast-enhanced CT showed good visualization of the superficial palmar arch and more distal digital arteries. Considering the slow improvement in blood flow and the dilation of the stenotic finger artery postoperatively, it appeared that there was a significant effect of spasm in addition to organic stenosis preoperatively and that revascularization was an effective treatment.</p>\",\"PeriodicalId\":7995,\"journal\":{\"name\":\"Annals of vascular diseases\",\"volume\":\"17 4\",\"pages\":\"405-408\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2024-12-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669018/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of vascular diseases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3400/avd.cr.24-00060\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of vascular diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3400/avd.cr.24-00060","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/10 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
A Case of Arterial Bypass for Extensive Stenosis of the Ulnar Artery and Superficial Palmar Arch due to Hypothenar Hammer Syndrome.
We present a case of arterial bypass for extensive stenosis of the ulnar artery and superficial palmar arch. The ulnar artery and the superficial palmar arch were bypassed using the great saphenous vein. Postoperatively, blood flow to the affected fingers gradually improved and the pain disappeared. Contrast-enhanced CT showed good visualization of the superficial palmar arch and more distal digital arteries. Considering the slow improvement in blood flow and the dilation of the stenotic finger artery postoperatively, it appeared that there was a significant effect of spasm in addition to organic stenosis preoperatively and that revascularization was an effective treatment.