Digital periarterial sympathectomy in the management of post-traumatic Raynaud syndrome Ander Letamendia, MD, PhD, Javier López-Román, MD, PhD, Juan.

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Digital periarterial sympathectomy in the management of post-traumatic Raynaud syndrome Ander Letamendia, MD, PhD, Javier López-Román, MD, PhD, Juan Bustamante-Munguira, MD, PhD, Jesús Herreros, MD, PhD Journal of Vascular Surgery Volume 63, Issue 2, Pages 459-465 (February 2016) DOI: 10.1016/j.jvs.2015.08.102 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Fingers with Porter classification grade IV ischemia. Journal of Vascular Surgery 2016 63, 459-465DOI: (10.1016/j.jvs.2015.08.102) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Aspect of the incisions in the fingers. B, Section of the neurovascular communicating branches and stripping the vascular adventitial sheath. Journal of Vascular Surgery 2016 63, 459-465DOI: (10.1016/j.jvs.2015.08.102) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Basal photoplethysmography (PPG) of Raynaud syndrome in stage III of the third finger of the right hand shows type e Boccalon severe ischemia curve. B, PPG of the same finger 3 months after digital periarterial sympathectomy shows type c Boccalon curve, well compensated arterial obstruction. Journal of Vascular Surgery 2016 63, 459-465DOI: (10.1016/j.jvs.2015.08.102) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Arteriography (arterial lesions). Journal of Vascular Surgery 2016 63, 459-465DOI: (10.1016/j.jvs.2015.08.102) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Types of protection used by Basque handball players. Journal of Vascular Surgery 2016 63, 459-465DOI: (10.1016/j.jvs.2015.08.102) Copyright © 2016 Society for Vascular Surgery Terms and Conditions