Injection Injury of an Aberrant Superficial Radial Artery Requiring Surgical Intervention

Journal of Hand and Microsurgery

Amir Behnam²  Evan W. Beale¹ 

[1] University of Texas Southwestern Medical School Department of Plastic Surgery, 1801 Inwood Rd., Dallas, TX 75390-9132 USA;Private Practice, West Reading, PA USA

关键词: Superficial radial artery;    Radial artery anomaly;   

DOI  :  10.1007/s12593-011-0053-8

学科分类：外科医学

来源: Thieme Medical and Scientific Publishers Pvt. Ltd.

【 摘 要 】

We report a patient with an anomalous superficial radial artery (A. antebrachialis superficialis dorsalis). The encountered vessel coursed abnormally superficial to the tendons of the extensor pollicus brevis (EPB), abductor pollicus longus (APL) and extensor pollicus longus (EPL), as it passed through the anatomical snuffbox, before penetrating the first dorsal interosseous muscle. This “superficial radial artery” was mistaken for a vein and cannulated with an angiocatheter. Subsequently, the patient sustained an extravasation and thrombotic injury secondary to a promethazine injection eventually requiring surgical intervention for attempted salvage.

【 授权许可】

Unknown