Document Detail


Radial artery infections and aneurysms after catheterization.
MedLine Citation:
PMID:  2299159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twelve patients in whom radial artery infections developed after catheterization in an intensive care unit over a 2-year period were reviewed. The incidence of local infection was 0.4%. An increased risk of infection was associated with prolonged catheterization (greater than 4 days). Aneurysms developed in five patients. Signs of septic emboli were present in two patients, including Osler's nodes, Janeway's lesions, and fingertip infarcts. In 6 of the 12 patients, the radial artery infection resolved with antibiotic treatment alone. The five patients with infected aneurysms were treated successfully with antibiotics and surgical excision. The radial artery was reconstructed by use of a vein graft in one patient. We believe that patients not responding promptly to antibiotics or patients with infected aneurysms are best treated by surgical excision.
Authors:
E Swanson; A Freiberg; D R Salter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  15     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-03-05     Completed Date:  1990-03-05     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  166-71     Citation Subset:  IM    
Affiliation:
Division of Plastic Surgery, Toronto Western Hospital, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aged
Aged, 80 and over
Aneurysm, Infected / drug therapy,  etiology*,  surgery
Arm / blood supply*
Arteries
Catheterization, Peripheral / adverse effects*
Female
Humans
Male
Middle Aged
Staphylococcal Infections / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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