Digital ischemia following radial arterial cannulation

Alison Deasy; Tanya O’Neill; Daniel Rawluk; Joseph Deasy

doi:10.1002/ccr3.4187

Digital ischemia and gangrene preceding renal neoplasm. An association with sarcomatoid adenocarcinoma of the kidney

Archives of Internal Medicine ◽

10.1001/archinte.136.4.486 ◽

1976 ◽

Vol 136 (4) ◽

pp. 486-488 ◽

Cited By ~ 10

Author(s):

R. H. Andrasch

Keyword(s):

Renal Neoplasm ◽

Digital Ischemia

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Popliteal artery cannulation as a saviour during prone positioning

BMJ Case Reports ◽

10.1136/bcr-2020-234370 ◽

2020 ◽

Vol 13 (6) ◽

pp. e234370

Author(s):

Narayan Bala ◽

Vinay Pathak ◽

Shilpa Goyal ◽

Nikhil Kothari

Keyword(s):

Prone Position ◽

Popliteal Artery ◽

Blood Pressure Monitoring ◽

Arterial Cannulation ◽

Invasive Blood Pressure ◽

Arterial Blood Gas ◽

Artery Cannulation ◽

Arterial Blood ◽

Arterial Cannula ◽

Invasive Blood Pressure Monitoring

The cannulation of the peripheral artery is a prerequisite for invasive blood pressure monitoring and repeated arterial blood gas sampling. Radial artery is commonly used site for inserting an arterial cannula. Many times, either during the change of posture or during prone ventilation, the arterial cannula gets displaced, and it is challenging to reinsert the arterial cannula in the lateral or prone position. In such circumstances, an alternative site of arterial cannulation needs to be looked into; we report a case in which the popliteal artery was used for arterial cannulation while the patient was in a prone position.

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AB0440 CLINICAL AND IMMUNOLOGICAL FEATURES OF THE SYSTEMIC SCLEROSIS-OVERLAP SYNDROMES

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.2550 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1248.2-1248

Author(s):

O. Desinova ◽

M. Starovoytova ◽

L. P. Ananyeva ◽

O. Koneva ◽

L. Garzanova ◽

...

Keyword(s):

Systemic Sclerosis ◽

Pathological Process ◽

Point Of View ◽

Joint Involvement ◽

Laboratory Findings ◽

Overlap Syndromes ◽

Digital Ischemia ◽

Immune Alterations ◽

Clinical Variants

Background:Systemic Sclerosis (SSc) overlap syndromes (SSc with polymyositis / dermatomyositis (PM/DM), rheumatoid arthritis (RA), etc.) still remain a group of very heterogenous and not very well studied clinical variants of SSc that are characterized by certain clinical and immunological features.Objectives:Identify clinical and immunological features of the SSc-overlap syndromesMethods:80 pts with SSc-PM/DM and 35 pts with SSc-RA undergoing standard clinical examination and laboratory immunological evaluation.Results:ANA Hep2 was positive in 98% of SSc-PM/DM pts; a-Scl-70 was in 34%, a - PM-Scl and RF were in 20%. ACA (6%), a-RNP (9%), and a - Jo-1 (5%) were significantly less common. Correlation analysis showed significant prevalence of conduction abnormalities in pts with a-Scl-70- (p<0.03); PM-Scl was rarely associated with cardiac arrhythmia (p<0.02) and pericarditis (p<0.03), but there was an association between ACA and presence of digital ischemia (p<0.04). Three pts with limited skin had Scl-70 and PM-Scl antibodies, two of them manifested clinical features of DM. A-Jo-1 was found in 3 pts with a longstanding disease (14,10 and 7 years), and one of these pts was also positive for a-Scl-70. All pts had limited skin and two had interstitial lung disease with FVC values of 79% and 74.8%.ANA Hep2 was positive in 96% of SSc-RA pts; a-Scl-70 – in 28%, and a-RNP - in 30%. RF-positivity was in 72% of pts, and Anti-CCP - in 27%. Simultaneous Anti-CCP and a-Scl-70 was found in one case, and Anti-CCP - anti-RNP – in another, both were associated with low RF titers. All pts had early joint involvement which became prevailing in subsequent years, and onset of the disease between 30 and 36 years. There was a correlation between laboratory signs of inflammatory activity and immunological disorders: ESR and a-Scl-70 (p<0.03). Anti-CCP and a-Scl-70 co-positivity was a significantly less frequent phenomenon (p<0.04). There was a remarkable 28% proportion of a-Scl-70 cases in SSc-RA with limited cutaneous which is usually characterized by ACA-positivity.Conclusion:SSc-PM/DM and SSc-RA appear to be an active disease from the immunological point of view, confirming therefore an important role of immune alterations in disease progression. Laboratory findings display specific pathogenetic features of SSc-overlap syndromes; laboratory abnormalities can be used to measure the activity and specify characteristics of the pathological process.Disclosure of Interests:None declared

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COMPLICATIONS OF FEMORAL ARTERIAL CANNULATION IN PEDIATRIC BURN PATIENTS.

Shock ◽

10.1097/00024382-200306001-00210 ◽

2003 ◽

Vol 19 (Supplement) ◽

pp. 72

Author(s):

H. Oliveira ◽

D. Chung ◽

J. Lee ◽

A. Sanford ◽

S. Wolf ◽

...

Keyword(s):

Burn Patients ◽

Arterial Cannulation

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Use of a wire-guided cannula for radial arterial cannulation

Journal of Anesthesia ◽

10.1007/s00540-006-0441-6 ◽

2007 ◽

Vol 21 (1) ◽

pp. 83-85 ◽

Cited By ~ 13

Author(s):

Yuki Ohara ◽

Shin Nakayama ◽

Hajime Furukawa ◽

Yasuhiro Satoh ◽

Hiroto Suzuki ◽

...

Keyword(s):

Arterial Cannulation

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Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques

The Journal of Vascular Access ◽

10.1177/11297298211000897 ◽

2021 ◽

pp. 112972982110008

Author(s):

Patrick Kennedy ◽

Darren Klass ◽

John Chung

Keyword(s):

Best Practice ◽

Artery Aneurysm ◽

Ulnar Artery ◽

Complication Rates ◽

Endovascular Interventions ◽

Transradial Access ◽

Digital Ischemia ◽

Aneurysm Embolization ◽

Lower Complication ◽

Access Complications

Transradial access is a safe approach for visceral endovascular interventions, with lower complication rates compared to transfemoral access. This report describes an unusual case of ulnar artery thrombosis following splenic artery aneurysm embolization via left transradial approach, resulting in non-target digital ischemia and eventual amputation of the ring and little finger distal phalanges. Technical considerations to reduce the incidence of access complications are also reviewed, along with practice modifications undertaken at our institution following this case to improve outcomes.

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