Acute ischaemia of the hand following accidental radial artery infusion of Depo-Medrone.
Acute ischaemia of the hand following the accidental intra-arterial injection of steroid has not, to our knowledge, been previously reported. We present such a case of the injection of Depo-Medrone with Lidocaine (Upjohn) into the right radial artery during attempted treatment of stenosing tenosynovitis of the right thumb. The resultant acute ischaemia was successfully managed after 20 hours by a combination of surgical thrombectomy, intra-arterial streptokinase and intravenous heparin and thymoxamine.
Taweepoke
P
P
Department of Plastic Surgery, St Andrew's Hospital, Billericay, Essex.
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D000208:Acute Disease; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D007261:Infusions, Intra-Arterial; D007511:Ischemia / Q000139:chemically induced*; D008775:Methylprednisolone / Q000009:adverse effects / Q000031:analogs & derivatives*; D000077555:Methylprednisolone Acetate; D008875:Middle Aged; D014953:Wrist / Q000098:blood supply
D000893:Anti-Inflammatory Agents; D000077555:Methylprednisolone Acetate; D008775:Methylprednisolone