Endovascular Therapy for Critical Limb Ischemia of the Hand

  • Performed Mar 2010
A 68-year-old male was referred from the nephrology department for ischemic rest pain of his right hand. His patient history included diabetes mellitus, hypertensive cardiopathy, and chronic renal insufficiency (serum creatinine: 140 mmol/L). His risk factor background included arterial hypertension as well as cigarette smoking.Upon clinical examination, the right hand was pale and cold and recapillarisation was significantly impaired as compared to the left hand. Results from the Allen test were inconclusive. Hemodynamic workup showed absent radial and ulnar pulses and an oscillometrically verified perfusion impairment of the right thumb.

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