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

Birgitta Arneklo-Nobin; Ulf Albrechtsson; Bo Eklöf; Ulf Tylen

doi:10.1007/BF02552892

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

Birgitta Arneklo-Nobin, Ulf Albrechtsson, Bo Eklöf, Ulf Tylen

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

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.

Original language	English (US)
Pages (from-to)	174-179
Number of pages	6
Journal	CardioVascular and Interventional Radiology
Volume	8
Issue number	4
DOIs	https://doi.org/10.1007/BF02552892
State	Published - Aug 1985
Externally published	Yes

Keywords

Hand angiography
Raynaud's phenomenon
Vasodilatation

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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title = "Indications for angiography and its optimal performance in patients with Raynaud's phenomenon",

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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AU - Arneklo-Nobin, Birgitta

AU - Albrechtsson, Ulf

AU - Eklöf, Bo

AU - Tylen, Ulf

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N2 - 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.

AB - 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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