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Updated: Feb 4, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Multiple Stab Incisions and Evacuation Technique for Contrast Extravasation of the Hand and Forearm
Sreekanth Raveendran1, K Rajendra Benny1, S Monica1
1Paul Brand Centre for Hand Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India; Department of Radiology, Christian Medical College & Hospital, Vellore, Tamil Nadu, India.
Abstract:
Extravasation of intravenous contrast agents in the hand and forearm during computed tomography scanning is rising with the use of automated pressure injectors. The main concern in such a situation is progression to acute compartment syndrome and necrosis of the overlying skin. Management has been mainly nonsurgical comprising upper limb elevation and orthosis, with surgical techniques such as liposuction and saline evacuation mainly used for large volume (>50 mL) extravasations. We have developed a technique of multiple stab incisions and drainage for the treatment of contrast extravasations.
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