Oesch A, Stirnemann P, Mahler F
Schweiz Med Wochenschr. 1984 Aug 25;114(34):1155-8.
The inadvertent injection of the sclerosant into an artery is the most serious complication of sclerotherapy. Four cases are presented, in all of which the posterior tibial artery was involved with resulting necrosis of portions of the foot. In one case a below-knee amputation was necessary. The necrosis depends mainly on the amount of the injected sclerosant. A noteworthy improvement due to specific therapy seems rare and was seen in only one of our cases. In this instance regional fibrinolysis was performed, whereas in a second case this approach proved detrimental. It appears to be much simpler to prevent this severe complication by adequate injection technique.
硬化剂意外注入动脉是硬化疗法最严重的并发症。本文报告了4例，所有病例均累及胫后动脉，导致足部部分坏死。其中1例需要进行膝下截肢。坏死主要取决于注入硬化剂的量。因特异性治疗而出现显著改善的情况似乎很少见，我们的病例中仅1例出现这种情况。在此例中进行了局部纤维蛋白溶解治疗，而在另一例中，这种方法被证明是有害的。通过适当的注射技术预防这种严重并发症似乎要简单得多。
