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Indications for angiography and its optimal performance in patients with Raynaud's phenomenon

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Abstract

Fifty-two patients with Raynaud's phenomenon of the upper extremity were examined by angiography because of suspected organic stenosis or occlusions in areas available for reconstructive vascular surgery. Different vasodilatating treatments were compared either singly or combined: blockade of the brachial plexus, intraarterial injections of phentolamine or reserpine, body warming, and orally administered alcohol. Body warming in combination with 4 mg phentolamine gave optimal vasodilatation within the shortest time and without vasospasm after local cold provocation in patients with sympathetically induced vasospasm, enabling a clear visualization of organic lesions. A proper vasodilatation was also obtained after blockade of the brachial plexus or reserpine injection combined with body warming, but not until 40 min after the start of the treatments.

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References

  1. Laws JW, Lillie JG, Scott JT (1963) Arteriographic appearances in rheumatoid arthritis and other disorders. Br J Radiol 36:477–493

    Article  Google Scholar 

  2. Marshall TR, Neustadt D, Chumley W, Kasdan M (1966) Hand arteriography. Radiology 86:299–304

    PubMed  CAS  Google Scholar 

  3. Wellington JL, Lynn RB (1969) Raynaud's syndrome. Angiology 20:129

    PubMed  CAS  Google Scholar 

  4. Heidrich H, Malcus R (1982) HLA-antigen in the differential diagnosis of the Raynaud's phenomenon. Vasa 11:29–31

    PubMed  CAS  Google Scholar 

  5. Porter J, Rivers S, Anderson J, Baur G (1981) Evaluation and management of patients with Raynaud's syndrome. Am J Surg 142:183–189

    Article  PubMed  CAS  Google Scholar 

  6. Lund F (1976) Fluorescein angiography especially of the upper extremities. Acta Chir Scand Suppl 465:60–70

    PubMed  CAS  Google Scholar 

  7. Nielsen SL, Lassen N (1977) Measurement of digital blood pressure after local cooling. J Appl Physiol 43:907–910

    PubMed  CAS  Google Scholar 

  8. Strandness DE Jr, et al. (1967) Ultrasonic flow detection, a useful technique in evaluation of peripheral vascular disease. Am J Surg 113:311

    Article  PubMed  Google Scholar 

  9. Winsor T (1954) Skin temperatures in peripheral vascular disease. JAMA 154:1405

    CAS  Google Scholar 

  10. Yao J, Gourmos C, Papthanasiou K, Irvine WT (1972) A method for assessing ischemia of the hand and fingers. Surg Gynecol Obstet 135:373–378

    PubMed  CAS  Google Scholar 

  11. Kent S, Thomas L, Browse N (1976) The value of arteriography of the hand in the Raynaud's syndrome. J Cardiovasc Surg 17:72–80

    CAS  Google Scholar 

  12. Eklöf B, Tylén U (1976) Rationelle arteriographische Untersuchung bei Fingerischämie. Von E Zeitler: Aspekte der Extrimitätenangiographie 34:191–198

    Google Scholar 

  13. McNamara M, Takaki H, Yao J, Bergan J (1978) A systemic approach to severe hand ischemia. Surgery 83:1–11

    PubMed  CAS  Google Scholar 

  14. Karmody A, Zaman S, Mirza R, Bousvaros G (1977) The surgical management of catheter injuries of the brachial artery. J Thorac Cardiovasc Surg 73:149–154

    PubMed  CAS  Google Scholar 

  15. Gross W, Flanigan P, Kraft R, Stanley J (1978) Chronic upper extremity arterial insufficiency. Arch Surg 113:419–423

    PubMed  CAS  Google Scholar 

  16. Arneklo-Nobin B, Levin-Nielsen S, Eklöf B, Lassen N (1978) Reserpine treatment of Raynaud's disease. Ann Surg 87:12–16

    Article  Google Scholar 

  17. Dale WA (1976) Management of Raynaud's phenomenon due to arterial occlusive disease of the wrist and hand. J Cardiovasc Surg 17:457–463

    CAS  Google Scholar 

  18. Dencker H, Jöthlin L, Hedner P, Lunderquist A, Norryd C, Tylén U (1975) Superior mesenteric angiography and blood flow following intraarterial injection of prostaglandin F2α. AJR 125:111–118

    CAS  Google Scholar 

  19. Lynn RB, Steiner RE, Van Wyk FAK (1955) Arteriographic appearances of the digital arteries of the hands in Raynaud's disease. Lancet 75:471–474

    Article  Google Scholar 

  20. Peacock JH (1957) Vasodilatation in the human hand. Observations on primary Raynaud's disease and acrocyanosis in the upper extremity. Chir Sci 17:575

    Google Scholar 

  21. Porter JM, Snider RL, Bardana EJ, Rösch J, Eidemiller LR (1975) The diagnosis and treatment of Raynaud's phenomenon. Surgery 77:11–23

    PubMed  CAS  Google Scholar 

  22. Rösch J, Antonovic R, Porter J (1977) The importance of temperature in angiography of the hand. Radiology 123:323–326

    PubMed  Google Scholar 

  23. Wegelius V (1972) Angiography of the hand. Arch Radiol Suppl 315

  24. Wilner H, Kay R, Eisenbrey B (1974) Pharmacologic aids in angiography of the upper extremity. AJR 121:150–154

    CAS  Google Scholar 

  25. Zeitler E (1975) Zur sicheren Darstellung von Digitalarterien an Händen und Füssen in Lokalanästhesie nach oraler Alkoholgabe. Fortschr Röntgenstr 123:67–68

    Article  CAS  Google Scholar 

  26. Arneklo-Nobin B, Eklöf B, Levin-Nielsen S, Sjöberg T (1983) A method for the evaluation of finger circulation—with reference values for smokers and non-smokers. In: The white cold hand: Physiologic, angiographic and pharmacologic study on the hand ciruclation with special reference to Raynaud's phenomenon. Bulletin No. 37 from the Department of Surgery, Lund, Sweden

  27. Arneklo-Nobin B, Norgren L, Sjöberg T (1983) The differentiation of Raynaud's phenomenon by measuring skin temperature and digital arterial pressure and their responses to local cooling and to vasodilatation. In: The white cold hand Physiologic, angiographic and pharmacologic study on the hand circulation with special reference to Raynaud's phenomenon. Bulletin No. 37 from the Department of Surgery, Lund Sweden

  28. Penneys R (1971) Study of the peripheral arterial circulation. Conn-Horwitz: Cardiac and Vascular Diseases 69:1669–1676

    Google Scholar 

  29. Zeitler E (1979) Angiographic techniques and findings in primary and secondary Raynaud's syndromes In: Heidrich H (ed) Raynaud's phenomenon, TM-Verlag, Berlin, pp 125–129

    Google Scholar 

  30. Paulino J, Sharon E, Kinkhabwala M, Kaplan D (1972) Arteriographic evaluation of intraarterial reserpine in Raynaud's phenomenon. Arthritis Rheum 15:448

    Google Scholar 

  31. Rösch J, Porter J, Gralino B (1977) Cryodynamic hand angiography in the diagnosis and management of Raynaud's syndrome. Radiology 55:807–814

    Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Radiology, University of Lund, Lund, Sweden

    Bo Eklöf & Ulf Tylén

  2. Department of Surgery, University of Lund, S-221 85, Lund, Sweden

    Birgitta Arneklo-Nobin M.D., Ph.D. & Ulf Albrechtsson

Authors
  1. Birgitta Arneklo-Nobin M.D., Ph.D.
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  2. Ulf Albrechtsson
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  3. Bo Eklöf
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  4. Ulf Tylén
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Arneklo-Nobin, B., Albrechtsson, U., Eklöf, B. et al. Indications for angiography and its optimal performance in patients with Raynaud's phenomenon. Cardiovasc Intervent Radiol 8, 174–179 (1985). https://doi.org/10.1007/BF02552892

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