Raynaud’s syndrome and upper extremity small artery occlusive disease

Gregory J. Landry

    Research output: Chapter in Book/Report/Conference proceedingChapter


    All vascular disease specialists encounter occasional patients with xed or intermittent upper extremity ischemia, a group estimated to comprise about 5% of patients with limb ischemia. A large majority of patients with upper extremity ischemia complaints have only intermittent vasospasm of the hands and ngers, a condition termed Raynaud’s syndrome (RS). An estimated 5%–10% of patients with upper extremity ischemia symptoms have severe hand and nger ischemia or digital ischemia ulceration associated with xed arterial occlusive disease of the palmar and digital arteries. Only a small percentage of these patients develop distal arterial occlusion as a result of potentially correctable arterial obstruction at or proximal to the wrist, including proximal subclavian and innominate atherosclerosis, subclavian aneurysms with or without a coexistent cervical rib, subclavian and upper extremity giant cell arteritis, radiation arteritis and associated disorders. e discussion that follows will focus on both upper extremity vasospasm and xed arterial.

    Original languageEnglish (US)
    Title of host publicationVascular Surgery
    Subtitle of host publicationPrinciples and Practice, Fourth Edition
    PublisherCRC Press
    Number of pages13
    ISBN (Electronic)9781482239461
    ISBN (Print)9781498780469
    StatePublished - Jan 1 2017

    ASJC Scopus subject areas

    • Medicine(all)


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