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Published byGiorgiana Di Lorenzo Modified over 5 years ago
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Critical hand ischemia caused by forearm fibromuscular dysplasia
James M. Edwards, M.D., John I. Antonius, M.D., John M. Porter, M.D. Journal of Vascular Surgery Volume 2, Issue 3, Pages (May 1985) DOI: / (85) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 1 Arteriogram shows areas of high-grade stenosis and aneurysm formation in proximal radial artery (double arrows), aneurysmal outpouchings of proximal ulnar artery (small arrows), redundant loop of distal ulnar artery (open arrow), occluded distal radial artery (arrowhead), and palmar thromboses (large arrow). Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 2 Proximal brachial artery with characteristic beading seen in fibromuscular dysplasia. Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 3 Pretreatment arteriogram shows thrombus in superficial palmar arch and common digital arteries (open arrows). Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 4 Arteriogram after intra-arterial streptokinase infusion shows thrombus resolution with patency of superficial palmar arch, common digital arteries, and proper digital arteries. Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 5 Operative arteriogram shows saphenous vein interposition grafts of radial and ulnar arteries. Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 6 Foam cells, necrosis, and calcification are present in areas (a). Medial thickening (b) and marked proliferation of smooth muscle (myofibroblasts) in intima (c) are typical of arterial dysplasia. (Radial artery; hematoxylin-eosin stain; original magnification ×25.) Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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Fig. 7 Cushions of smooth muscle bulge into arterial lumen (a) producing typical corrugated outline characteristic of intimal components of arterial dysplasia. Medial thickening (b) is eccentric and partly fibrous. (Hematoxylin-eosin stain; original magnification ×25.) Journal of Vascular Surgery 1985 2, DOI: ( / (85) ) Copyright © 1985 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions
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