Mangar D, Laborde R S, Vu D N
Department of Anesthesiology, University of South Florida College of Medicine, Tampa 33612-4799.
Can J Anaesth. 1993 Mar;40(3):247-50. doi: 10.1007/BF03037036.
We present a case of ischaemic hand injury in a patient, who had 95% occlusion of both the ulnar and radial arteries, after atraumatic placement of a left radial artery catheter. The presence of cigarette burns on the dorsum of the hand was highly suggestive of vascular compromise. There were no signs of vascular compromise after placement of the arterial line which was removed 24 hr later. Ten days after placement the patient complained of pain with ensuing ischaemic changes resulting in necrosis of the finger tips and eventual amputation of the hand. We recommend using other sites of arterial access such as axillary or superficial temporal artery in patients with severe peripheral vascular disease.
我们报告一例患者，在无创放置左桡动脉导管后，尺动脉和桡动脉均出现95%的闭塞，导致手部缺血性损伤。手背有香烟烫伤高度提示血管受损。放置动脉导管后24小时移除时未发现血管受损迹象。放置导管十天后，患者出现疼痛并伴有缺血性改变，导致指尖坏死，最终手部被截肢。我们建议，对于患有严重外周血管疾病的患者，使用其他动脉穿刺部位，如腋动脉或颞浅动脉。
