Overview
Symptomatic Upper Extremity Arterial Occlusive Disease is uncommon because of the abundant collateral network and the infrequency of atherosclerosis in the upper extremity. Patients who present with upper extremity ischemia range from young adults with nonatherosclerotic causes to elderly patients with atherosclerosis
Indications
- Arm Fatigue - Carotid-subclavian bypass, as depicted in the image below, percutaneous transluminal angioplasty (PTLA), and stent
- Vertebrobasilar Insufficiency - Carotid subclavian bypass and possible vertebral artery transposition to carotid artery
- Subclavian Aneurysm And Thoracic Outlet Injuries With Distal Embolization - Resection of subclavian artery aneurysm and venous bypass and rib resection with thoracic outlet, as depicted in the image below.
- Acute Arterial Occlusion - Embolectomy for embolus and repair for trauma (blunt or penetrating)
- Chronic Arterial Occlusion With Pain At Rest, Ulcer, Or Gangrene - Bypass using the autogenous vein for distal segments and prosthetic material for larger proximal segments, amputation (digital or forearm), and sympathectomy (controversial)
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Varicose Veins 
Radiofrequency Occlusion
Sclerotherapy
Vein Stripping 
Lower Leg Ulcers 
Vascular Malformations 
