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Aneurysms of the Upper Extremity

- Discussion:

    - pulsatile, tender mass
    - vasospastic symptoms (burns's)
    - digit ischemia and/or gangrene
    - embolic showers from mural thrombi
    - adjacent nerve compression
    - may be erythematous and mimic an abscess
    - systolic bruit or thrill

- Exam:
    - allen's test may be positive if the aneuysm is occluded;
    - perform digital Allen's test;

- Treatment:
    - surgery recommended due to risk of thrombosis & peripheral emb.
    - reconstruction versus resection;
    - choice guided by adequacy of digital blood flow after resection;
    - if DBI >, no reconstuction required