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Review
. 2014 Jun;25(6):963-8.
doi: 10.1016/j.jvir.2014.03.016.

Acute hand ischemia after unintentional intraarterial injection of drugs: is catheter-directed thrombolysis useful?

Romain Breguet  1 , Sylvain Terraz  2 , Marc Righini  3 , Dominique Didier  2
Affiliations
Review

Acute hand ischemia after unintentional intraarterial injection of drugs: is catheter-directed thrombolysis useful?

Romain Breguet et al. J Vasc Interv Radiol. 2014 Jun.

Abstract

Unintentional intraarterial injections are rare but may have devastating consequences. No consensus on treatment has been established owing to the wide variety of possible injected substances, incomplete understanding of the underlying pathophysiology, and the absence of case-controlled, prospective human studies. The aim of the present study and literature review was to evaluate the benefit of intraarterial thrombolysis combined with systemic anticoagulation therapy when an artery of the upper extremity is accidentally punctured and ischemia of the hand ensues.

Keywords: UIAI; unintentional intraarterial injection.

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