Percutaneous Angioplasty of the Radial Artery and its Deep Palmar Branch for Critical Hand Ischemia – A Case Report

(A) Severe and diffuse lesion of the radial artery and deep palmar branch (white arrows). Note the deep palmar arch (white arrows head), superficial palmar branch (black arrows) and superficial palmar arch (black arrows head); (B) A right oblique projection reveals a high origin of the superficial palmar branch (black arrows); (C) Angioplasty of the radial artery and its deep palmar branch with a 2.5×80mm balloon, (D) Final angiographic result.

Six-month angiographic follow-up: (A) Focal restenosis of deep palmar branch is delimitated by the white circle. Distal radial artery and deep palmar branch (white arrows). Superficial palmar branch (black arrows); (B) Angioplasty of the radial artery and its deep palmar branch with a 2.0×80mm balloon (white arrows); (C) Final angiographic result.