**Core Concept**
Buerger's disease, also known as thromboangiitis obliterans, is a rare, non-atherosclerotic, segmental inflammatory disease that affects small and medium-sized arteries, veins, and nerves of the hands and feet. This condition is strongly associated with smoking and is characterized by recurrent episodes of limb ischemia.

**Why the Correct Answer is Right**
The patient's symptoms of exceptional pain in the bilateral forearms and hands, faint radial and ulnar pulses, and easily palpable brachial pulse are consistent with Buerger's disease. Angiography of the hand would likely show segmental occlusions of the arteries. The best treatment for Buerger's disease is smoking cessation, as it has been shown to halt the progression of the disease and improve symptoms. Surgical options, such as bypass grafting, may be considered in selected cases, but smoking cessation is the cornerstone of treatment.

**Why Each Wrong Option is Incorrect**

**Option A:**
This option is incorrect because Buerger's disease is not typically treated with antiplatelet agents. While antiplatelet agents may be used to manage symptoms, they do not address the underlying cause of the disease, which is smoking.

**Option B:**
This option is incorrect because vasodilators are not a primary treatment for Buerger's disease. While vasodilators may help to improve blood flow in some patients, they do not address the underlying inflammation and thrombosis that characterize the disease.

**Option C:**
This option is incorrect because surgical revascularization may be considered in selected cases of Buerger's disease, but it is not the best initial treatment. Smoking cessation should always be the first line of treatment.

**Clinical Pearl / High-Yield Fact**
Smoking cessation is the only treatment that has been consistently shown to halt the progression of Buerger's disease and improve symptoms. This highlights the importance of quitting smoking in patients with this condition.

**Correct Answer:** C.