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.
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Causes, risk factors, and complications of accidental intra-arterial administration of medications in a children's hospital: a case series.
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Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu-Shi, Tokyo, 184-8561, Japan.
Background: Accidental intra-arterial administration of a medication can lead to serious iatrogenic harm. Most studies have discussed single cases of accidental intra-arterial administration of a medication, but only a few have described multiple cases occurring in a single, pediatric hospital setting.
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Background: Inadvertent intra-arterial injection of sclerosants is an uncommon adverse event of both ultrasound-guided and direct vision sclerotherapy. This complication can result in significant tissue or limb loss and significant long-term morbidity.
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Department of Radiation Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku- Ozalla Campus, Enugu, Nigeria.
Introduction: Promethazine is a phenothiazine derivative that possesses antihistamine, anti-dopaminergic and anticholinergic properties. It is commonly used to treat motion sickness, allergic conditions, nausea and vomiting, in addition to its use as a sedative. Promethazine has vesicant properties and is highly caustic to the intima of blood vessels and surrounding tissues.
View Article and Find Full Text PDFAccidental Intraarterial Placement of a Venous Cannula: When In Doubt Take It Out!-A Case Report.
AANA J
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is a Senior Consultant in the Department of Anaesthesiology, Sir ganga Ram Hospital, New Delhi, India.
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View Article and Find Full Text PDFWe report the case of an 81-year-old man presenting with peritoneal carcinosis secondary to a metastatic castrate-resistant prostate cancer addressed for 177Lu-PSMA-1 therapy. During the second cycle, a diffuse uptake in his left forearm was observed on the 1-hour postinjection scintigraphy, typical for an accidental intra-arterial injection. Less than 24 hours postinjection, a full removal of the intra-arterial injection was observed in the man, without any pain or symptoms.
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