Technical outcomes of below-the-elbow revascularization for upper extremity critical limb ischemia

Objectives This study aims to report the technical results of below-the-elbow arterial revascularization in patients with critical hand ischemia. Methods We retrospectively identified upper extremity critical limb ischemia patients treated with below-the-elbow arterial intervention between 2013 and 2017. Patient demographics, comorbidities, and procedural data were reviewed and technical success was evaluated. Results Seven patients with 12 arteries that were affected by critical hand ischemia were treated. All patients had a history of end-stage renal disease. The technical success rate was 83.3%. There were no major or minor complications. The average follow-up duration was 9 months (2-26 months). One patient underwent a digital amputation at 8 months. Conclusion Arterial revascularization of the below-the-elbow arteries for critical hand ischemia is safe and technically feasible.