PMC5523346_01
Pallor of the distal fingers of the left hand.
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fig1
However, prior photos taken showed marked pallor of the distal fingers of the palms of both hands (Figures 1 and 2).
Pallor of the distal fingers of the right hand.
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fig2
However, prior photos taken showed marked pallor of the distal fingers of the palms of both hands (Figures 1 and 2).
Tapered high grade stenosis of the proximal right brachial artery with collateral muscular branches.
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fig3
She further underwent conventional angiography which showed tapered high grade stenosis of the proximal right brachial artery (Figure 3) and on the left a short focal tapered occlusion, with likely dissection of the left brachial artery reconstituted with collateral muscular branches (Figure 4).
Left brachial artery with a short focal tapered occlusion, with likely dissection and collateral muscular branches.
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fig4
She further underwent conventional angiography which showed tapered high grade stenosis of the proximal right brachial artery (Figure 3) and on the left a short focal tapered occlusion, with likely dissection of the left brachial artery reconstituted with collateral muscular branches (Figure 4).
Repeat angiogram of the right brachial artery showed no residual stenosis after balloon angioplasty and stenting.
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fig5
Runoff angiogram showed widely patent runoff arteries (Figure 5).
Repeat angiogram of the left brachial artery showed no residual stenosis after balloon angioplasty and stenting.
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fig6
Poststent angiogram showed good poststenting positioning and no residual stenosis and unimpeded flow of contrast to the hand (Figure 6).