Abstract
The following case report describes an expanding aneurysmal dilatation of the radial artery which developed 17 days following cannulation. Possible causes of this complication are: abnormal state of the vessel wall, multiple attempts at cannulation, and haematoma or infection at cannulation site. Other major and minor sequelae following arterial cannulation are reviewed.
Nous vous présentons un cas de dilatation anévrismale progressive de l’artère radiale survenue 17 jours après l’insertion d’une canule artérielle. L’athérosclérose de la paroi vasculaire, les multiples tentatives d’insertion de meme qu’un hématome et une infection au site de la canule peuvent avoir joué un rôle dans la genèse du problème. Nous passons aussi en revue les autres complications des canules artérielles.
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Mathieu A, Dalton B, Fischer JE, Kumar A. Expanding aneurysm of the radial artery after frequent puncture. Anesthesiology 1973; 38: 401–3.
Coleman SS, Anson BJ. Arterial patterns in the hand based on upon a study of 60 specimens. Surg Gynecol Obstet 1961; 113: 409–24.
Allen EA. Thromboangitis obliterans: methods of diagnosis of chronic occlusive arterial lesions distal to the wrist with illustrative cases. Am J Med Sci 1929; 178: 237–44.
Bedford RF, Wolhnan H. Complications of percutaneous radial artery cannulation: an objective prospective study in man. Anesthesiology 1973; 38: 288–96.
Mangano DT, Hickey RF. Ischemic injury following uncomplicated radial artery cannulation. Anesth Analg 1979; 58: 55–7.
Cannon BW, Meshier WT. Extremity amputation following radial artery cannulation in a patient with hyperlipoproteinemia type V. Anesthesiology 1982; 56: 222–3.
Matthews JI, Gibbons RB. Embolization complicating radial artery puncture. Ann Intern Med 1971; 75: 87–8.
Wyatt R, Glaves I, Copper DJ. Proximal skin necrosis after radial artery cannulation. Lancet 1974; 1: 1135–8.
Katz AM, Birnboum M, Moylan J, Pellet J. Gangrene of the hand and forearm: a complication of radial artery cannulation. Crit Care Med 1974; 2: 270–2.
Baker RJ, Chunprapaph B, Nyhus LM. Severe ischemia of the hand following radial artery catherization. Surgery 1976; 80: 449–57.
Slogoff S, Keats AS, Arlund C. On the safety of radial artery cannulation. Anesthesiology 1983; 59: 42–7.
Jones RM, Hill AB, Nahrwold ML, Bolles RY. The effect of method of radial artery cannulation on postcannulation blood flow and thrombus formation. Anesthesiology 1981; 55: 76–8.
Mortensen JD. Clinical sequelae from arterial needle puncture, cannulation, and incision. Circulation 1967; 25; 1118–23.
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McEllistrem, R.F., O’Toole, D.P. & Keane, P. Post-cannulation radial artery aneurysm — a rare complication. Can J Anaesth 37, 907–909 (1990). https://doi.org/10.1007/BF03006633
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DOI: https://doi.org/10.1007/BF03006633