Shinfeld A, Ofer A, Engleberg I, Rabi I
Department of General and Vascular Surgery, Chaim Sheba Medical Center, Tel Hashomer, Israel.
J Vasc Surg. 1992 Aug;16(2):293-6.
Septic emboli, giving rise to physical signs similar to those of subacute bacterial endocarditis, are extremely rare complications of radial artery catheterization. A case is reported with splinter hemorrhages and Janeway lesions, resulting from an infected radial artery catheter. Five other cases with these signs are collected from among 21 patients with localized septic complications described in the literature. The duration of radial artery catheterization was 4 days or longer in all cases, and Staphylococcus aureus was the offending agent in all. We conclude that arterial lines should be removed as early as possible, and in any case they should be pulled out at the earliest sign of a local complication. In the presence of signs of local infection, antistaphylococcal treatment should be given until results of cultures are available.
导致体征与亚急性细菌性心内膜炎相似的脓毒性栓子是桡动脉插管极为罕见的并发症。本文报告了1例因桡动脉导管感染出现瘀点样出血和詹韦损害的病例。从文献中描述的21例局部感染并发症患者中收集到另外5例有这些体征的病例。所有病例桡动脉插管时间均为4天或更长，且均由金黄色葡萄球菌致病。我们得出结论，动脉导管应尽早拔除，无论如何，一旦出现局部并发症的最早迹象就应拔出。出现局部感染体征时，应给予抗葡萄球菌治疗，直至获得培养结果。
