PMC4846062_01
Angioplasty of forearm arteries.. Notes: (A) On-table angiogram showed multiple segment stenoses over right radial artery (triangles) and ulnar artery (arrows). (B) Angioplasty of ulnar artery. (C) Angioplasty of radial artery. (D) Successful revascularization of radial artery (triangles). Spasm of ulnar artery (arrows) after angioplasty was improved with intra-arterial gylceryl trinitrate.
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Corporration, Somerset, NJ, USA) and angioplastized with 2 mm x 25 mm Medtronic Sprinter Legend balloon (Medtronic Inc, Fridley, MN, USA). Completion angiogram showed satisfactory radiological result with some ulnar artery spasm which improved with 50 microg of intra-arterial glyceryl trinitrate (UCB Pharma Limited, Berkshire, UK) (Figure 1).
Serial clinical photos of patient's ring finger over time.. Notes: (A) Distal phalanx was gangrenous with cellulitis of middle and proximal phalanx at presentation before revascularization. (B) Two weeks postoperation and (C) 3 months postoperation when the ring finger has autoamputated with no pain or open wound.
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The distal phalanx autoamputated with no wound after 3 months (Figure 2).