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Management of Femoral Artery Obstruction: Complication of Femoral Venipuncture

Management of Femoral Artery Obstruction: Complication of Femoral Venipuncture Abstract THE DANGERS of femoral venipuncture have been poorly appreciated. Admittedly, there are few documented instances of complications among the countless venipunctures performed on pediatric patients. In a review of the recent literature only two cases of gangrene of the lower extremities1 and one case of arteriovenous fistula following venipuncture2 were found. However it is not rare for transient cyanosis of the lower extremities to occur after femoral venipuncture. The transient changes are attributed to vascular spasm, but persistence of this spasm may be an important factor in causing the irreversible changes that lead to gangrene. This process of irreversible change may be averted by prompt arteriotomy with exploration of the artery when the abnormal appearance of the extremity persists and fails to respond to local measures. Report of a Case A 2-week-old white male infant was brought to the Margaret Hague Maternity Hospital on July 31, 1964 for References 1. Nabseth, D.C., and Jones, J.E.: Gangrene of the Lower Extremities of Infants After Femoral Venipuncture , New Eng J Med 268:1003, 1963.Crossref 2. Davis, S.B.; Baum, D.; and Dillard, D.H.: Femoral Arteriovenous Fistula Following Venipuncture , Pediatrics 35:118, 1965. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Management of Femoral Artery Obstruction: Complication of Femoral Venipuncture

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1965.02090030594016
Publisher site
See Article on Publisher Site

Abstract

Abstract THE DANGERS of femoral venipuncture have been poorly appreciated. Admittedly, there are few documented instances of complications among the countless venipunctures performed on pediatric patients. In a review of the recent literature only two cases of gangrene of the lower extremities1 and one case of arteriovenous fistula following venipuncture2 were found. However it is not rare for transient cyanosis of the lower extremities to occur after femoral venipuncture. The transient changes are attributed to vascular spasm, but persistence of this spasm may be an important factor in causing the irreversible changes that lead to gangrene. This process of irreversible change may be averted by prompt arteriotomy with exploration of the artery when the abnormal appearance of the extremity persists and fails to respond to local measures. Report of a Case A 2-week-old white male infant was brought to the Margaret Hague Maternity Hospital on July 31, 1964 for References 1. Nabseth, D.C., and Jones, J.E.: Gangrene of the Lower Extremities of Infants After Femoral Venipuncture , New Eng J Med 268:1003, 1963.Crossref 2. Davis, S.B.; Baum, D.; and Dillard, D.H.: Femoral Arteriovenous Fistula Following Venipuncture , Pediatrics 35:118, 1965.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Nov 1, 1965

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