Multiple Stab Incisions and Evacuation Technique for Contrast Extravasation of the Hand and Forearm.
Contrast extravasation
IV contrast
compartment syndrome
multiple stab incision technique
Journal
The Journal of hand surgery
ISSN: 1531-6564
Titre abrégé: J Hand Surg Am
Pays: United States
ID NLM: 7609631
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
15
06
2016
revised:
08
07
2018
accepted:
15
08
2018
pubmed:
8
10
2018
medline:
7
1
2020
entrez:
8
10
2018
Statut:
ppublish
Résumé
Extravasation of intravenous contrast agents in the hand and forearm during computed tomography scanning is rising with the use of automated pressure injectors. The main concern in such a situation is progression to acute compartment syndrome and necrosis of the overlying skin. Management has been mainly nonsurgical comprising upper limb elevation and orthosis, with surgical techniques such as liposuction and saline evacuation mainly used for large volume (>50 mL) extravasations. We have developed a technique of multiple stab incisions and drainage for the treatment of contrast extravasations.
Identifiants
pubmed: 30292713
pii: S0363-5023(18)30790-1
doi: 10.1016/j.jhsa.2018.08.009
pii:
doi:
Substances chimiques
Contrast Media
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
71.e1-71.e5Informations de copyright
Copyright © 2019 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.