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Microvascular reconstruction of iatrogenic femoral artery thrombosis in an infant: a case report and review of the literature: infant femoral artery reconstruction.

Salvino MJ, Ramaswamy R, Schechter LS - Eplasty (2009)

Bottom Line: However, significant iatrogenic injuries to the peripheral vascular system can occur.Vascular inflow was reestablished and the limb was salvaged.Microvascular techniques allow for a controlled operating field with magnification, thereby assisting in the accuracy of vessel repair.

View Article: PubMed Central - PubMed

Affiliation: Loyola University Medical Center, Maywood, IL, USA. mjsalvino@yahoo.com

ABSTRACT

Objective: We present a case of femoral artery thrombosis and acute limb ischemia in an infant following attempted femoral venipuncture. Microsurgical reconstruction of the lesion and a review of the literature are described.

Methods: Insertion of intravascular catheters is a commonly performed procedure in neonatal and pediatric intensive care units. However, significant iatrogenic injuries to the peripheral vascular system can occur. Management ranges from anticoagulation and thrombolytics to surgical intervention. In this case, surgical therapy involved thrombectomy and microsurgical reconstruction of the femoral artery.

Results: Vascular inflow was reestablished and the limb was salvaged.

Conclusions: We believe that microsurgical techniques are an important component for successful vascular reconstruction after iatrogenic artery thrombosis in an infant. Microvascular techniques allow for a controlled operating field with magnification, thereby assisting in the accuracy of vessel repair.

No MeSH data available.


Related in: MedlinePlus

Salvaged limb.
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Figure 2: Salvaged limb.

Mentions: At 1-month follow-up, the patient demonstrated improved function of the extremity, as evidenced by spontaneous foot and toe movement. Doppler examination at this time revealed triphasic signals in the femoral artery. In addition, the lateral leg healed to completion by secondary intention (Figs 1 and 2).


Microvascular reconstruction of iatrogenic femoral artery thrombosis in an infant: a case report and review of the literature: infant femoral artery reconstruction.

Salvino MJ, Ramaswamy R, Schechter LS - Eplasty (2009)

Salvaged limb.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2691651&req=5

Figure 2: Salvaged limb.
Mentions: At 1-month follow-up, the patient demonstrated improved function of the extremity, as evidenced by spontaneous foot and toe movement. Doppler examination at this time revealed triphasic signals in the femoral artery. In addition, the lateral leg healed to completion by secondary intention (Figs 1 and 2).

Bottom Line: However, significant iatrogenic injuries to the peripheral vascular system can occur.Vascular inflow was reestablished and the limb was salvaged.Microvascular techniques allow for a controlled operating field with magnification, thereby assisting in the accuracy of vessel repair.

View Article: PubMed Central - PubMed

Affiliation: Loyola University Medical Center, Maywood, IL, USA. mjsalvino@yahoo.com

ABSTRACT

Objective: We present a case of femoral artery thrombosis and acute limb ischemia in an infant following attempted femoral venipuncture. Microsurgical reconstruction of the lesion and a review of the literature are described.

Methods: Insertion of intravascular catheters is a commonly performed procedure in neonatal and pediatric intensive care units. However, significant iatrogenic injuries to the peripheral vascular system can occur. Management ranges from anticoagulation and thrombolytics to surgical intervention. In this case, surgical therapy involved thrombectomy and microsurgical reconstruction of the femoral artery.

Results: Vascular inflow was reestablished and the limb was salvaged.

Conclusions: We believe that microsurgical techniques are an important component for successful vascular reconstruction after iatrogenic artery thrombosis in an infant. Microvascular techniques allow for a controlled operating field with magnification, thereby assisting in the accuracy of vessel repair.

No MeSH data available.


Related in: MedlinePlus