Delayed Rupture of the Radial Artery Caused by Catheter-Related Sepsis

Arnow, Paul M.; Costas, Chris

doi:10.1093/clinids/10.5.1035

Cited by 19 publications

(10 citation statements)

References 8 publications

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“…An urgent diagnosis is essential because aneurysms can rupture even late 19 ; the diagnosis can be verified by ultrasound.…”

Section: Resultsmentioning

confidence: 99%

Radial Artery “Mycotic” Pseudoaneurysm Occurring After Arterial Line Placement

Barakat¹,

Truwit²

2003

Clinical Pulmonary Medicine

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We describe a case of a radial artery "mycotic" pseudoaneurysm with distal septic emboli to the hand caused by methicillin-resistant Staphylococcus aureus that developed 2 days after removal of a percutaneously placed arterial catheter. The diagnosis was confirmed at surgical exploration after a rapid increase in swelling and pain at the site. This is a rare complication that has been reported once in the last decade, and only a total of 22 cases were reported in the English literature.

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“…An urgent diagnosis is essential because aneurysms can rupture even late 19 ; the diagnosis can be verified by ultrasound.…”

Section: Resultsmentioning

confidence: 99%

Radial Artery “Mycotic” Pseudoaneurysm Occurring After Arterial Line Placement

Barakat¹,

Truwit²

2003

Clinical Pulmonary Medicine

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“…A retrospective chart review of over 12 500 patients undergoing radial artery catheterization revealed only six cases of pseudoaneurysm formation (an incidence of 0.048%) [2]. The occurrence of an infected radial artery pseudoaneurysm after arterial catheterization is very rare, with only 21 previous reports in the English-language literature over the last 50 years [2,[5][6][7][8][9][10][11][12][13][14]. Only one report of a haemophiliac patient developing a pseudoaneurysm of the radial artery could be found on searching, and this was not infected [15].…”

Section: Discussionmentioning

confidence: 99%

Radial artery mycotic pseudoaneurysm in a haemophiliac: a potentially fatal complication of arterial catheterization

Harkin¹,

Connolly²,

Chandrasekar³

et al. 2002

Haemophilia

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“…As far as is ascertainable all catheters except one were in place 5 days or more before the appearance of the septic emboli. [13][14][15][16][17] .' In eight of nine cases where the physical findings were described there were local signs of infection, 4'1s17 and all except two had positive blood cultures as well.…”

Section: Discussionmentioning

confidence: 99%

Septic emboli from a radial artery catheter with local manifestations of subacute bacterial endocarditis

Shinfeld

Ofer

Engleberg

et al. 1992

Journal of Vascular Surgery

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Septic emboli, giving rise to physical signs similar to those of subacute bacterial endocarditis, are extremely rare complications of radial artery catheterization. A case is reported with splinter hemorrhages and Janeway lesions, resulting from an infected radial artery catheter. Five other cases with these signs are collected from among 21 patients with localized septic complications described in the literature. The duration of radial artery catheterization was 4 days or longer in all cases, and Staphylococcus aureus was the offending agent in all. We conclude that arterial lines should be removed as early as possible, and in any case they should be pulled out at the earliest sign of a local complication. In the presence of signs of local infection, antistaphylococcal treatment should be given until results of cultures are available.

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Delayed Rupture of the Radial Artery Caused by Catheter-Related Sepsis

Cited by 19 publications

References 8 publications

Radial Artery “Mycotic” Pseudoaneurysm Occurring After Arterial Line Placement

Radial Artery “Mycotic” Pseudoaneurysm Occurring After Arterial Line Placement

Radial artery mycotic pseudoaneurysm in a haemophiliac: a potentially fatal complication of arterial catheterization

Septic emboli from a radial artery catheter with local manifestations of subacute bacterial endocarditis

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