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Journal of Hand Surgery (British and European Volume)
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Articles

Treatment of Chronic Ischaemia of a Replanted Thumb with Iloprost

M. SABOVIC

From the Department for Vascular Diseases, Internal Clinic, University Medical Centre, Ljubljana, Slovenia

Correspondence: Mio aboviè, MD, PhD Dept of Vascular Diseases, Internal Clinic, University Clinical Centre, Riharjeva 24, 1000 Ljubljana, Slovenia. Tel.: +386 1 2833 500; Fax: +386 1 2833 155. E-mail: miso.sabovic{at}trnovo.kclj.si

A 40-year-old man had chronic ischaemia of his replanted thumb. Angiography revealed occlusion of both digital arteries and weak collaterals. He was treated for 4 weeks with Iloprost which produced a definite and sustained improvement. As the digital arteries remained occluded, the beneficial effect of Iloprost was attributed to increased flow in the microcirculation and collaterals.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 5, 481-483 (2002)
DOI: 10.1054/jhsb.2002.0785


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