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Korean Journal of Anesthesiology 2008;54(5):598-602.
DOI: https://doi.org/10.4097/kjae.2008.54.5.598   
Finger Necrosis Following Percutaneous Radial Artery Cannulation: A case report.
Seong Su Kim, Sang Hee Han, Min Gyo Suh, Seong Cheol Yu
1Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea. sskim@gnah.co.kr
2Department of Plastic Surgery, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea.
Abstract
Anesthegiologists commonly use arterial cannulation for both close blood pressure monitoring and repeated blood sampling for gas analysis. Radial artery cannulation is generally thought of as a safe and uncomplicated procedure, however, some possible complications have been reported. These include bleeding, hematoma, infection, pseudoaneurysm and thromboembolism, which do not usually result in any serious clinical problems. Although it is not common, thromboembolism could be serious because it can lead to digital ischemia and necrosis. We report here a case of finger necrosis following radial artery cannulation in a patient who underwent radical hysterectomy under general anesthesia.
Key Words: arterial cannulation; digital ischemia; necrosis; thromboembolism


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