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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
Published on: July 21, 2013
Digit Survival After Prolonged Digital Tourniquet Application Associated with Severe Venous Congestion: A Case Report
1Department of Orthopedics, Prisma Health Midlands, Columbia, South Carolina.
Case:
A 22-year-old roofer presented to the emergency department with partial amputation of the left middle finger. He was treated with revision amputation using a glove tourniquet. He followed up 14 days later demonstrating a retained tourniquet with severe ischemic changes. The patient was managed conservatively with aspirin, smoking cessation, and observation.
Conclusion:
At 2-year follow-up, he had normal sensation and function and returned to work. A finger with severe, but incomplete arterial occlusion and profound venous congestion can be salvaged with conservative management of observation and anticoagulation with aspirin therapy after prolonged ischemia of 14 days.
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