2021
DOI: 10.1002/ccr3.4187
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Digital ischemia following radial arterial cannulation

Abstract: Indwelling arterial catheterization is frequently performed in acute and critical care settings. The procedure is generally considered safe. Radial arterial occlusion resulting in vessel thrombosis, ischemic neuropathy, and/or digital ischemia is uncommon yet carries significant morbidity. Early recognition and timely management is imperative.

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Cited by 3 publications
(2 citation statements)
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“…Patients with vascular diseases, such as diabetes mellitus (DM), Raynaud's disease or phenomenon, deep venous thrombosis, systemic lupus erythematosus (SLE) should be approached with caution before RAC. 2,[6][7][8][10][11][12]17,19,20,22,25,28 Each of these factors can be associated with an increased risk of RA thrombosis resulting from local injury, vasospasm, or decreased arterial flow. The analysis of this series of case reports demonstrate that the most common reasons of ischemia are thrombosis and vasospasm, followed by compartment syndrome and artery dissection.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with vascular diseases, such as diabetes mellitus (DM), Raynaud's disease or phenomenon, deep venous thrombosis, systemic lupus erythematosus (SLE) should be approached with caution before RAC. 2,[6][7][8][10][11][12]17,19,20,22,25,28 Each of these factors can be associated with an increased risk of RA thrombosis resulting from local injury, vasospasm, or decreased arterial flow. The analysis of this series of case reports demonstrate that the most common reasons of ischemia are thrombosis and vasospasm, followed by compartment syndrome and artery dissection.…”
Section: Discussionmentioning
confidence: 99%
“…The disruption to blood flow dynamics and associated risks of thrombotic-related complications and occlusion are becoming more relevant in critical care settings. Radial arterial occlusion may occur in <10% of all procedures, 29 and with some patients having incomplete palmar arches, this risk diminishes collateral perfusion and potentially leads to ischemia in the presence of vessel occlusion. However there has been insufficient recent evidence looking at the incidence or clinical relevance of occlusion due to the large sample population required to demonstrate significance.…”
Section: Catheter-to-vessel Ratio (Cvr)mentioning
confidence: 99%