Presentation
In the present investigation, two of the 26 specimens featured such an accessory artery. [bja.oxfordjournals.org]
Abstract A short cut review was carried out to establish whether topical local anaesthetic reduces the pain of arterial puncture. 431 papers were found using the reported search, of which two presented the best evidence to answer the clinical question [ncbi.nlm.nih.gov]
Entire Body System
- Soft Tissue Mass
The lesion has a saccular appearance and the false sac is lined with endothelium, and the outer walls are formed of fibrous scar tissue. The pseudoaneurysms of the distal upper extremity may mimic many other soft tissue masses. [casesjournal.biomedcentral.com]
- Localized Pain
[…] thought that injecting a patient with a local anesthetic would be just as painful as the arterial puncture itself. [acutecaretesting.org]
Cardiovascular
- Vascular Disease
There were four failures to achieve hemostasis using the device due to: inability to place the device because of peripheral vascular disease, entrapment of cutaneous tissue in the suture, a suture break that prevented hemostasis from being achieved, and [ncbi.nlm.nih.gov]
Although the current research does not support use of the Allen’s Test when drawing every ABG it is imperative that an over all examination for the presence of severe peripheral vascular disease be made to the area distal to the site. [sharinginhealth.ca]
disease Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. [clinicaltrials.gov]
[…] grafts, in which case arterial vascular puncture should not be attempted Known or suspected severe peripheral vascular disease of the limb involved Relative contraindications include the following: Severe coagulopathy Anticoagulation therapy with warfarin [emedicine.medscape.com]
Skin
- Darkly Pigmented Skin
pigmented skin, thoracic outlet syndrome, pre‐existing anatomical variations and limited cooperation during cannulation. 7 Palpation of the vessel before puncture should help to detect the presence of an accessory artery. [bja.oxfordjournals.org]
- Splinter Hemorrhage
Splinter hemorrhages can be a feature of the antiphospholipid syndrome. We describe a patient in whom splinter hemorrhages developed following radial artery puncture. [ncbi.nlm.nih.gov]
Treatment
Treatment of post-puncture arterial pseudoaneurysms can range from conservative management, for lesions smaller than 2 cm - through compression with the Doppler machine transducer and injection of thrombin - to conventional surgical or endovascular treatment [scielo.br]
Since these observations seem to not be merely sporadic, radiologists and cardiologists as well as vascular surgeons should be aware of their possible occurrence in order to avoid these complications and to provide promptly an adequate treatment. [ncbi.nlm.nih.gov]
Early recognition and treatment of complications are essential. Copyright © 1976 by The Journal of Bone and Joint Surgery, Incorporated [journals.lww.com]
Surgical treatment of digital ischemia occurred after radial artery catheterization. J Korean Med Sci 2001; 16:375-7. Fig. 1. [ceemjournal.org]
Prevention
Clotted specimen Prevention Tactic 2. Make sure to properly mix the sample after collection; also be sure to use heparin syringe. Rejection Criteria 3. Hemolysis of the specimen Prevention Tactic 3. [quizlet.com]
Although three other suture breaks occurred, these did not prevent hemostasis from being achieved. [ncbi.nlm.nih.gov]
If hematoma formation is prevented, the artery may be used multiple times. Observe the extremity for 15-20 minutes after the procedure for arterial spasm. [uichildrens.org]