Document Detail


The safety of ambulatory intra-arterial pressure monitoring: a clinical audit of 1000 studies.
MedLine Citation:
PMID:  6715074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between 1973 and 1981 1000 successful studies involving ambulatory monitoring of intra-arterial blood pressure were performed using percutaneous cannulation of the brachial artery. We have reviewed the clinical effects of these studies and 35 other cases where attempted cannulation was unsuccessful. One major complication occurred, when an infected haematoma arising at the cannulation site led to the formation of a false aneurysm. In only one other case was distal pulsation diminished following the study. There were 157 reported "minor" complications in 122 studies, including haematoma, haemorrhage, transient paraesthesiae in median nerve territory, and evidence of micro-emboli. A limited study using pulsed wave Doppler ultrasound revealed no significant alteration in arterial lumen size or flow in 20 subjects. The procedure was therefore associated with a much smaller incidence of clinical problems than has been reported with other investigations involving cannulation of the brachial artery.
Authors:
S Mann; R I Jones; M W Millar-Craig; C Wood; B A Gould; E B Raftery
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  5     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1984 May 
Date Detail:
Created Date:  1984-06-14     Completed Date:  1984-06-14     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  585-97     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ambulatory Care
Blood Pressure Determination / adverse effects,  methods*
Brachial Artery
Catheterization* / adverse effects
Embolism / etiology
Female
Hematoma / etiology
Hemorrhage / etiology
Humans
Male
Median Nerve / injuries
Middle Aged
Monitoring, Physiologic / adverse effects
Pulse
Retrospective Studies
Ultrasonography

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


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