Saliou C, Duteille F, Soyer J, Sraieb T, Turc I, Laurian C
Service de Chirurgie Vasculaire Fondation, Hôpital Saint-Joseph, Paris.
J Chir (Paris). 1997 Jul;134(2):65-8.
Inadvertant intra-arterial injection is a rare complication of sclerotherapy of varicose veins. We report one case of accidental popliteal injection complicated by acute ischemiae of the posterior compartment of the leg who needed fasciotomy and Achillus tendum elongation. There is no practical "step-by-step" guide of these complications and the best treatment is the prevention by respect of contraindications and the injection of sclerosing agent under ultrasonographic control.
意外动脉内注射是静脉曲张硬化治疗的一种罕见并发症。我们报告1例意外腘动脉注射病例,该病例并发小腿后室急性缺血,需要进行筋膜切开术和跟腱延长术。目前尚无关于这些并发症的实用“分步”指南,最佳治疗方法是通过遵守禁忌证并在超声引导下注射硬化剂来预防。