Ischemia of the hand secondary to radial artery thrombosis: A report of three cases

Chitte, Sachin A; Veltri, Karen

doi:10.4172/plastic-surgery.1000364

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…13,14 However, spontaneous or traumatic radial artery thrombosis with acute thumb and finger ischemia has been described with morbid outcomes. [15][16][17] In the setting of RAA with possible suboptimal thumb and second finger perfusion after radial artery ligation, as demonstrated on preoperative imaging, a short-segment vein bypass likely has excellent durability, provides ideal perfusion to the hand, and eliminates the risk of hand or thumb ischemia.…”

Section: Discussionmentioning

confidence: 99%

Extensor pollicis longus tendon compression as the etiology of a true aneurysm of the radial artery in the anatomical snuff box

Halbach

Lowry

Nelles

et al. 2016

Journal of Vascular Surgery Cases, Innovations and Techniques

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True aneurysms of the radial artery are rare. The natural history of these aneurysms is not well understood. We report the case of a true aneurysm of the radial artery located in the anatomical snuffbox in a 65-year-old man with no antecedent trauma which was treated with resection and cephalic vein interposition graft. We discuss the treatment options as well as review previous literature on radial artery aneurysms and suggest compression by the extensor pollicis longus tendon on the radial artery as a contributing factor to the formation of these aneurysms.

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Section: Discussionmentioning

confidence: 99%

Extensor pollicis longus tendon compression as the etiology of a true aneurysm of the radial artery in the anatomical snuff box

Halbach

Lowry

Nelles

et al. 2016

Journal of Vascular Surgery Cases, Innovations and Techniques

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Interpretation of Upper Extremity Arteriography

2015

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Acute Upper Limb Ischemia and Amputation Post Antecubital Fossa Cannulation: A Report of Two Postpartum Patients

Sharma¹,

Dahiya²,

Ansar³

et al. 2023

Cureus

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Upper extremity arterial thrombosis is less common than that in the lower extremity. Upper extremity arterial thrombosis, when present, is more likely to occur on the ulnar side of the circulation. Severe ischemia resulting from radial artery thrombosis is rare, but iatrogenic cannulation is the most common etiology when it occurs. The risk factors underlying this dreadful presentation are numerous and still under investigation. Pregnancy and the immediate postpartum period are physiological hypercoagulable states.Here we present unusual cases of acute limb ischemia post iatrogenic cannulation in two patients within six weeks postpartum. At four weeks postpartum, a 26-year-old para-1 live-1 female presented to the emergency department with swelling in her right upper limb for four weeks and its blackish discoloration for one week. A 24-year-old primigravida female who had a termination of a blighted ovum 12 days ago presented to the emergency department with gangrenous changes in her right hand and forearm. Both patients reported recent antecubital fossa cannulation within six weeks postpartum, triggering gangrenous hand changes. Both patients had to undergo amputation of the digits and hand ultimately. Thus we postulate the need for extra care and education of healthcare workers in the cannulation of pregnant and post-pregnancy patients to prevent limb-threatening complications.

show abstract

Ischemia of the hand secondary to radial artery thrombosis: A report of three cases

Cited by 3 publications

References 7 publications

Extensor pollicis longus tendon compression as the etiology of a true aneurysm of the radial artery in the anatomical snuff box

Extensor pollicis longus tendon compression as the etiology of a true aneurysm of the radial artery in the anatomical snuff box

Interpretation of Upper Extremity Arteriography

Acute Upper Limb Ischemia and Amputation Post Antecubital Fossa Cannulation: A Report of Two Postpartum Patients

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