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Arterial Puncture

Puncture of Artery


Presentation

  • Bright red blood is usually, but not always, present, and a pulsating needle is sometimes present. Hematoma is a relatively common complication, and brachial artery pseudoaneurysms are rare, although one case was seen in this study.[ncbi.nlm.nih.gov]
  • We present a rare case of saccular aneurysm localised in the arm of a breast-feeding baby, secondary to accidental arterial puncture. Colour Doppler echography showed a cystic lesion with turbulent arterial flow related to the humeral artery.[ncbi.nlm.nih.gov]
  • RESULTS: the variables and the pain scores of the groups did not present statistical significance (p 0.05) according to the Neonatal Facial Coding System. 80.8% of the preterm infants in Group 1 had a higher quantitative score 3 in the neonatal variables[ncbi.nlm.nih.gov]
  • The case presented is of an infant who developed a radial artery pseudoaneurysm following arterial puncture and was subsequently diagnosed with hemophilia. A discussion of radial artery pseudoaneurysms follows.[ncbi.nlm.nih.gov]
  • We present two infants with brachial artery pseudoaneurysm in the antecubital region following accidental arterial puncture.[ncbi.nlm.nih.gov]
Localized Pain
  • Intradermal injection of lidocaine before arterial puncture decreases the incidence and severity of localized pain [1,7].[acutecaretesting.org]
Amyloidosis
  • This article describes the clinical case of a patient with amyloidosis who suffered a pseudoaneurysm at an arterial puncture site.[scielo.br]
Hemophilia A
  • The case presented is of an infant who developed a radial artery pseudoaneurysm following arterial puncture and was subsequently diagnosed with hemophilia. A discussion of radial artery pseudoaneurysms follows.[ncbi.nlm.nih.gov]
Sleep Apnea
  • We excluded those with heart failure and included those with any respiratory condition (COPD, asthma, sleep apnea).[ncbi.nlm.nih.gov]
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]
  • 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]
  • VASCULAR DISEASE MANAGEMENT 2015;12(11):E215-E220 Key words: angioplasty, catheterization, interventional cardiology, vascular intervention, access site management _______________________________ Percutaneous catheterization, for the performance of catheter-based[vasculardiseasemanagement.com]
  • 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]
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.[academic.oup.com]
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]

Workup

Bicarbonate Decreased
  • In 2 studies, [19,20] the addition of sodium bicarbonate decreased the discomfort associated with the injection of lidocaine. Burgher and McGuirk [21] also studied the use of buffered lidocaine in intravenous cannulation in the emergency department.[acutecaretesting.org]

Treatment

  • Abstract We report successful transvenous treatment of direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV using a novel triple-overlay embolization (TAILOREd) technique without the need for arterial puncture, which is known[ncbi.nlm.nih.gov]
  • 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]
  • 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]
  • This case describes a mechanism of femoral artery occlusion by a suture-mediated APCD and suggests a method of prevention and treatment.[ncbi.nlm.nih.gov]
  • The gain in effectiveness was expressed as the decrease in rate of puncture-site complications that required treatment. Costs associated with achieving hemostasis and treating complications were included.[ncbi.nlm.nih.gov]

Etiology

  • Blunt trauma and vascular access attempts are the most common etiologic factors. We present two infants with brachial artery pseudoaneurysm in the antecubital region following accidental arterial puncture.[ncbi.nlm.nih.gov]

Prevention

  • Although three other suture breaks occurred, these did not prevent hemostasis from being achieved.[ncbi.nlm.nih.gov]
  • 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]
  • This case describes a mechanism of femoral artery occlusion by a suture-mediated APCD and suggests a method of prevention and treatment.[ncbi.nlm.nih.gov]
  • The Angio-Seal arterial closure device is widely used to prevent bleeding and facilitate early ambulation after arterial puncture.[ncbi.nlm.nih.gov]
  • Of these, 45 (20%) were excluded due to the inability to perform exercise testing, or anatomical conditions which prevented the insertion of a VCD. The 185 remaining patients (139 male, mean age 68 12 years) received Angio-Seal after PCI.[ncbi.nlm.nih.gov]

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