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Published on: January 4, 2013
Early Presentation of Acute Digital Ischemia After Intra-Arterial Injection Drug Use
Nicolas Echeverria1, Etka Kurucan2, Karim Gubara3
1Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, PA.
Fentanyl injection can cause rapid hand ischemia and gangrene due to microvascular injury, even with open major arteries. Early assessment is crucial for managing this severe complication.
Area of Science:
- Vascular Surgery
- Toxicology
- Emergency Medicine
Background:
- Fentanyl injection, particularly into an artery, can lead to severe vascular complications.
- Microvascular ischemia presents a diagnostic challenge, especially when major vessels appear patent.
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