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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.

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Presentation on theme: "Digital periarterial sympathectomy in the management of post-traumatic Raynaud syndrome  Ander Letamendia, MD, PhD, Javier López-Román, MD, PhD, Juan."— Presentation transcript:

1 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 (February 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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

3 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 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  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Arteriography (arterial lesions).
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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


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