Ischaemia of the hand after radial artery monitoring

Complications associated with arterial catheterization in children

“…Although multiple adult studies have demonstrated abnormal arterial flow or occlusion after removal of arterial catheters, the frequency of ischemic damage in those studies was extremely low (4,5).…”

Axillary arterial catheter use associated with hand ischemia in a multi-trauma patient: case report and literature review

“…In a prospective study of 40 patients, 27.5% developed abnormal radial artery flow, and 10% had absent pulses after radial artery catheterization, but none had symptoms or signs of ischemia [4]. Hoencamp et al found that Doppler ultrasound showed a decrease in arterial function at one and 5 days after arterial catheter removal that resolved within 30 days [15].…”

“…Reported complications include infection, bleeding, hematoma, and vascular events such as vessel injury with resultant vasospasm, thrombosis, thromboembolism, and pseudoaneurysm formation [1,2]. When severe, vascular compromise may lead to tissue ischemia and necrosis [1,[3][4][5].…”

Multiple Digital Gangrene after a Radial Artery Penetrating Injury: A Case Report

“…After cannulation, 27.5% of patients develop abnormal radial artery flows, with 10% having absent pulses but none having any symptoms of hand ischemia. 20 Slogoff et al 7 prospectively examined radial artery flow after decannulation by Doppler in 1,699 patients and found partial or complete radial artery occlusion after decannulation in >25% of patients. However, no ischemic damage or disability of the hand occurred in any patient.…”