Abstract
Surgical intervention in Raynaud's disease can include interposition vein or arterial grafting, balloon angioplasty or open sympathectomy, with decision-making critical on individual angiographic features. Despite this, noninvasive angiographic techniques, particularly with advanced imaging technologies, have not been described. A recent article by Kim et al, “Classification of Raynaud's disease based on angiographic features,”[1] highlighted the necessity of angiography in this setting, with only catheter angiography used in each case, in which iodinated contrast is injected through the femoral artery. However, although catheter angiography may be sensitive in the imaging of hand ischemia, there exist distinct drawbacks to its use. We would like to offer our experience in the use of noninvasive, advanced imaging modalities for angiography.
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