Boland Allison Clare, Joseph-Mofford Genevieve, Pino Cassandra, Levine Diane, Tennenberg Steven D, Vaidya Rahul
Wayne State University School of Medicine, Detroit, Michigan, USA
Wayne State University School of Medicine, Detroit, Michigan, USA.
BMJ Case Rep. 2025 Jan 14;18(1):e261994. doi: 10.1136/bcr-2024-261994.
Arterial cannulation, commonly performed in the radial artery, is a widely used method for continuous blood pressure monitoring. Occasionally, the axillary artery is used as an alternate site of cannulation. However, complications like occlusion can lead to adverse events and severe outcomes. We present a case of axillary arterial line placement resulting in ischaemic limb injury and amputation, highlighting the need to recognise risk factors.A woman in her mid-60s underwent a lobectomy for adenocarcinoma of the lung and suffered postoperative complications resulting from arterial line placement. Despite interventions, she developed progressive ischaemia of her left upper limb, necessitating amputation. This case highlights the risks associated with arterial catheterisation and potential adverse outcomes, offering recommendations for arterial line placement in high-risk patients.
动脉插管通常在桡动脉进行，是一种广泛用于连续血压监测的方法。偶尔，腋动脉也用作替代插管部位。然而，诸如闭塞等并发症可能导致不良事件和严重后果。我们报告一例腋动脉置管导致肢体缺血性损伤和截肢的病例，强调识别风险因素的必要性。一名60多岁的女性因肺腺癌接受了肺叶切除术，并因动脉置管出现术后并发症。尽管进行了干预，她的左上肢仍出现进行性缺血，需要截肢。本病例突出了动脉插管相关的风险和潜在不良后果，为高危患者的动脉置管提供了建议。
