case_images: PMC5523346_01
case_images: Pallor of the distal fingers of the left hand.
case_images: CRIVAM2017-7461082.001.jpg
case_images: PMC5523346_01_CRIVAM2017-7461082.001.jpg
case_images: fig1
case_images: However, prior photos taken showed marked pallor of the distal fingers of the palms of both hands (Figures 1 and 2).
case_images: Pallor of the distal fingers of the right hand.
case_images: CRIVAM2017-7461082.002.jpg
case_images: PMC5523346_01_CRIVAM2017-7461082.002.jpg
case_images: fig2
case_images: However, prior photos taken showed marked pallor of the distal fingers of the palms of both hands (Figures 1 and 2).
case_images: Tapered high grade stenosis of the proximal right brachial artery with collateral muscular branches.
case_images: CRIVAM2017-7461082.003.jpg
case_images: PMC5523346_01_CRIVAM2017-7461082.003.jpg
case_images: fig3
case_images: She further underwent conventional angiography which showed tapered high grade stenosis of the proximal right brachial artery (Figure 3) and on the left a short focal tapered occlusion, with likely dissection of the left brachial artery reconstituted with collateral muscular branches (Figure 4).
case_images: Left brachial artery with a short focal tapered occlusion, with likely dissection and collateral muscular branches.
case_images: CRIVAM2017-7461082.004.jpg
case_images: PMC5523346_01_CRIVAM2017-7461082.004.jpg
case_images: fig4
case_images: She further underwent conventional angiography which showed tapered high grade stenosis of the proximal right brachial artery (Figure 3) and on the left a short focal tapered occlusion, with likely dissection of the left brachial artery reconstituted with collateral muscular branches (Figure 4).
case_images: Repeat angiogram of the right brachial artery showed no residual stenosis after balloon angioplasty and stenting.
case_images: CRIVAM2017-7461082.005.jpg
case_images: PMC5523346_01_CRIVAM2017-7461082.005.jpg
case_images: fig5
case_images: Runoff angiogram showed widely patent runoff arteries (Figure 5).
case_images: Repeat angiogram of the left brachial artery showed no residual stenosis after balloon angioplasty and stenting.
case_images: CRIVAM2017-7461082.006.jpg
case_images: PMC5523346_01_CRIVAM2017-7461082.006.jpg
case_images: fig6
case_images: Poststent angiogram showed good poststenting positioning and no residual stenosis and unimpeded flow of contrast to the hand (Figure 6).