Eur J Plast Surg (2012) 35:195–197 DOI 10.1007/s00238-010-0496-3 CASE REPORT Revascularization of the hand by intra-arterial injection of heparin Gustavo Coelho & Hugo Sequeira & Leonor Rios & Luis Azevedo & Horacio Zenha & Augusta Cardoso & Horacio Costa Received: 10 August 2009 /Accepted: 3 August 2010 /Published online: 18 December 2010 Springer-Verlag 2010 Case report The patient was hospitalized for 8 days with a continuous iv perfusion of neodextril (Dextran), showing A BSS patient, 20 years old, male, presented at the E.R. good perfusion and no signs of ischemia (Fig. 4). after an accident at work with traumatic slough of the left hand (crushing injury by hydraulic splitter of firewood). During physical examination, the patient presented Discussion hemodynamic stability with injury of the palmar region of the left hand with signs of devascularization of the second Reversibility of the thrombotic process relates directly to and third fingers. the ischemic tissue period, and therefore, the main objective The X-ray showed fracture of the proximal phalanx of is to reverse this process as quickly as possible. the first, second and third fingers. Nowadays, the endothelium is known to play an active Two hours and 30 min after entering the E.R.
European Journal of Plastic Surgery – Springer Journals
Published: Feb 1, 2012
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