Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1988-8-5
|
| pubmed:abstractText |
The brachial artery is not used for long-term catheterization and routine hemodynamic monitoring because a high incidence of ischemic complications is anticipated. However, in a review of 157 patients who had 225 percutaneous transbrachial hepatic artery catheters placed for infusion of chemotherapeutic agents, catheters remained in situ from 1 day to 14 months (median 68 days). One hundred seventy-three catheters (77%) were removed electively and 52 catheters (23%) were removed because of complications. Diminution or loss of the radial pulses occurred on insertion of 88 catheters (39.1%) and 16 of these (8%) were removed after 24 hours because ischemic symptoms developed. Subsequently, 25 other catheters (11.1%) were removed because of complications such as paresthesia, eight (3.5%); brachial artery thrombosis, four (1.7%); microembolization, three (1.3%); claudication, two (0.8%); and pseudoaneurysm, one (0.4%). Seven catheters (3.1%) were removed because of a combination of pallor, diminished pulses, and muscle weakness. Hemorrhage from the arteriotomy site necessitated the removal of 11 other catheters (4.9%). Amputation, ischemic ulceration, major neuromuscular sequelae, and peripheral embolization to the head or lower limbs did not occur. This study suggests that long-term brachial artery catheterization is associated with a low incidence of permanent ischemic complications.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0741-5214
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
8
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
76-8
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:3385882-Antineoplastic Agents,
pubmed-meshheading:3385882-Arm,
pubmed-meshheading:3385882-Brachial Artery,
pubmed-meshheading:3385882-Catheterization, Peripheral,
pubmed-meshheading:3385882-Female,
pubmed-meshheading:3385882-Hepatic Artery,
pubmed-meshheading:3385882-Humans,
pubmed-meshheading:3385882-Infusions, Intra-Arterial,
pubmed-meshheading:3385882-Ischemia,
pubmed-meshheading:3385882-Liver Neoplasms,
pubmed-meshheading:3385882-Male,
pubmed-meshheading:3385882-Middle Aged,
pubmed-meshheading:3385882-Paresthesia,
pubmed-meshheading:3385882-Retrospective Studies,
pubmed-meshheading:3385882-Thrombosis,
pubmed-meshheading:3385882-Time Factors
|
| pubmed:year |
1988
|
| pubmed:articleTitle |
Long-term brachial artery catheterization: ischemic complications.
|
| pubmed:affiliation |
Section of Peripheral Vascular Surgery, Lahey Clinic Medical Center, Burlington, MA 01805.
|
| pubmed:publicationType |
Journal Article
|