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Extremity necrosis caused by indwelling arterial catheters
American Journal of Surgery
|March 11, 1976
Summary
Indwelling catheters can cause arterial tissue damage, including septic thrombosis. Proper precannulation assessment, catheter care, and vigilant monitoring can minimize these serious risks.
Area of Science:
- Vascular Surgery
- Infectious Disease
Background:
- Indwelling arterial catheters are common in critical care.
- Complications such as tissue damage and thrombosis can occur.
Purpose of the Study:
- To report cases of arterial tissue damage from indwelling catheters.
- To highlight methods for preventing such complications.
Main Methods:
- Case series review of patients with arterial catheter complications.
- Analysis of clinical presentation and outcomes.
Main Results:
- Four patients experienced tissue damage due to arterial catheters.
- Three cases involved radial artery catheters; one involved the dorsalis pedis artery.
- Septic thrombosis was identified in one patient.
Conclusions:
- Precannulation evaluation of arterial circulation is crucial.
- Proper catheter management and close clinical observation are essential for preventing infection and ischemia.