en
Scientific article
Review
English

Acute hand ischemia after unintentional intraarterial injection of drugs: is catheter-directed thrombolysis useful?

Published inJournal of vascular and interventional radiology, vol. 25, no. 6, p. 963-968
Publication date2014
Abstract

Unintentional intraarterial injections are rare but may have devastating consequences. No consensus on treatment has been established owing to the wide variety of possible injected substances, incomplete understanding of the underlying pathophysiology, and the absence of case-controlled, prospective human studies. The aim of the present study and literature review was to evaluate the benefit of intraarterial thrombolysis combined with systemic anticoagulation therapy when an artery of the upper extremity is accidentally punctured and ischemia of the hand ensues.

Keywords
  • Acute Disease
  • Adult
  • Aged, 80 and over
  • Angiography, Digital Subtraction
  • Angioplasty, Balloon
  • Fibrinolytic Agents/administration & dosage
  • Hand/blood supply
  • Humans
  • Iatrogenic Disease
  • Injections, Intra-Arterial/adverse effects
  • Ischemia/diagnosis/drug therapy/etiology
  • Male
  • Recombinant Proteins/administration & dosage
  • Retrospective Studies
  • Substance Abuse, Intravenous/complications
  • Thrombolytic Therapy
  • Thrombosis/diagnosis/etiology/therapy
  • Tissue Plasminogen Activator/administration & dosage
  • Treatment Outcome
  • Young Adult
Citation (ISO format)
BREGUET, Romain et al. Acute hand ischemia after unintentional intraarterial injection of drugs: is catheter-directed thrombolysis useful? In: Journal of vascular and interventional radiology, 2014, vol. 25, n° 6, p. 963–968. doi: 10.1016/j.jvir.2014.03.016
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal1051-0443
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