Sildenafil as a therapeutic option for digital ischemic ulceration : case report
Kraehenbuehl, Swenn Maxence
Journal of hand surgery : American volume / American Society for Surgery of the Hand. - St.Louis, Mo.
, p. 890-893
University of Antwerp
We report the case of a 37-year-old woman who developed critical upper limb ischemia caused by a cervical rib. Because the malformation was initially undiagnosed, a vascular bypass was performed, and failure occurred. Following a 6-month therapy with sildenafil, revascularization of the arm was successful and amputation was avoided. A 6-year follow-up shows a rich collateral network at the compression site and normal values of digital plethysmography. Because hand surgeons often see patients with digital ulcerations and other manifestations of peripheral vascular pathology, therapy of ischemia with sildenafil could be an effective treatment option in patients not responding to classic drugs. Copyright (C) 2015 by the American Society for Surgery of the Hand. All rights reserved.