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March 1984

Vascular Disorders of the Upper Extremity

Arch Surg. 1984;119(3):355. doi:10.1001/archsurg.1984.01390150083025

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This collection of seven essays reviews vascular laboratory diagnosis, arteriography, thoracic outlet syndrome, venous and arterial occlusive disease, digital gangrene, and the vasculitides as they apply to upper-extremity vascular disease.

Sumner details at extreme length the electronic technology that is available to aid in the laboratory diagnosis of upper-extremity occlusive and vasospastic conditions. Although of interest to the academician, it is a little tiresome for the practitioner. Gomes' chapter on arteriography and venography mixes clinical features with helpful angiograms, and Roos presents his extensive personal experience with thoracic outlet syndrome, discussing origin, diagnosis, and treatment.

Three of the best chapters are Porter's on digital gangrene, Machleder's on arterial and venous obstruction, and that of Paulus and Kono on systemic vascular disorders. This volume includes a staggering 500-reference, 40-page bibliography. Machleder summarizes the current status of fibrinolytic therapy for occlusion in this era of invasive roentgenology, cardiology, and chemotherapy.

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