[What should be done in the case of an accidental injection of a sclerosant into an artery? Apropos of a case].
The authors report a case of severe ischaemia following an injection of sclerosant for varicose veins in the legs and discuss the pathophysiology of this accident. It seems that such an accident requires the immediate injection of a massive dose of cortisone; an intravenous infusion containing 400 mg of hydrocortisone hemisuccinate, 400 mg of heparin, 400 mg of Praxilene and 4 ampoules of injectable Tranxene 50; admission to a competent unit, i.e. with experience of this type of accident and the techniques of haemodilution combined with steroid therapy and the use of calcium inhibitors, for example Aldalate, as peripheral antispasmodics. Finally, the authors discuss the precautions which need to be taken in order to avoid such accidents, even in the hands of experts.
D001158:Arteries / Q000187:drug effects; D005260:Female; D005392:First Aid; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000139:chemically induced* / Q000628:therapy; D007866:Leg / Q000098:blood supply*; D008875:Middle Aged; D012597:Sclerosing Solutions / Q000008:administration & dosage*
D012597:Sclerosing Solutions
Que faire en cas d'injection accidentelle de sclérosant dans une artère? A propos d'une observation.