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Rare occurrence of upper-limb ischaemia necessitating transhumeral amputation following axillary arterial line

Allison Clare Boland1, Genevieve Joseph-Mofford2, Cassandra Pino3

  • 1Wayne State University School of Medicine, Detroit, Michigan, USA allison.boland@wayne.edu.

BMJ Case Reports
|January 14, 2025
PubMed

Arterial cannulation, commonly performed in the radial artery, is a widely used method for continuous blood pressure monitoring. Occasionally, the axillary artery is used as an alternate site of cannulation. However, complications like occlusion can lead to adverse events and severe outcomes. We present a case of axillary arterial line placement resulting in ischaemic limb injury and amputation, highlighting the need to recognise risk factors.A woman in her mid-60s underwent a lobectomy for adenocarcinoma of the lung and suffered postoperative complications resulting from arterial line placement. Despite interventions, she developed progressive ischaemia of her left upper limb, necessitating amputation. This case highlights the risks associated with arterial catheterisation and potential adverse outcomes, offering recommendations for arterial line placement in high-risk patients.

Keywords:
ArteriesOrthopaedic and trauma surgeryThrombosis

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