Korean J Anesthesiol.  2008 May;54(5):598-602. 10.4097/kjae.2008.54.5.598.

Finger Necrosis Following Percutaneous Radial Artery Cannulation: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea. sskim@gnah.co.kr
  • 2Department of Plastic Surgery, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea.

Abstract

Anesthegiologists commonly use arterial cannulation for both close blood pressure monitoring and repeated blood sampling for gas analysis. Radial artery cannulation is generally thought of as a safe and uncomplicated procedure, however, some possible complications have been reported. These include bleeding, hematoma, infection, pseudoaneurysm and thromboembolism, which do not usually result in any serious clinical problems. Although it is not common, thromboembolism could be serious because it can lead to digital ischemia and necrosis. We report here a case of finger necrosis following radial artery cannulation in a patient who underwent radical hysterectomy under general anesthesia.

Keyword

arterial cannulation; digital ischemia; necrosis; thromboembolism

MeSH Terms

Aneurysm, False
Arteries
Blood Pressure Monitors
Catheterization
Fingers
Hematoma
Hemorrhage
Humans
Hysterectomy
Ischemia
Necrosis
Radial Artery
Thromboembolism
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