“…1,9,11,17 On the other hand, just a very few articles describe clinical evidence of chronic ischemia of the hand after a radial forearm flap or just the radial artery was harvested, whereas some hundreds of these flaps, as well as radial arteries, may be used for myocardial revascularization every year around the world. [18][19][20] The conclusion is that in most cases when a superficial ulnar artery is present and replaces the regular ulnar artery, it is not noticed and, above all, not damaged during radial flap preparation. Nevertheless, there is always the risk of damaging a superficial ulnar artery if it is present.…”