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. 2009 Jun 2:9:e20.

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

Michael J Salvino  1 , Raja Ramaswamy, Loren S Schechter
Affiliations

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

Michael J Salvino et al. Eplasty. .

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.

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Figures

Figure 1
Figure 1
Healed fasciotomy site.
Figure 2
Figure 2
Salvaged limb.
See this image and copyright information in PMC

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References

    1. Lin PH, Dodson TF, Bush RL, et al. Surgical intervention for complications caused by femoral artery catheterization in pediatric patients. J Vasc Surg. 2001;34(6):1071–8. - PubMed
    1. Flanigan DP, Keifer TJ, Schuler JJ, Ryan TJ, Castronuovo JJ. Experience with latrogenic pediatric vascular injuries. Incidence, etiology, management, and results. Ann Surg. 1983;198(4):430–42. - PMC - PubMed
    1. LaQuaglia MP, Upton J, May JW., Jr. Microvascular reconstruction of major arteries in neonates and small children. J Pediatr Surg. 1991;26(9):1136–40. - PubMed
    1. Friedman J, Fabre J, Netscher D, Jaksic T. Treatment of acute neonatal vascular injuries—the utility of multiple interventions. J Pediatr Surg. 1999;34(6):940–5. - PubMed
    1. Gamba P, Tchaprassian Z, Verlato F, Verlato G, Orzali A, Zanon GF. Iatrogenic vascular lesions in extremely low birth weight and low birth weight neonates. J Vasc Surg. 1997;26(4):643–6. - PubMed

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