title: [Actually a routine matter: ischemia after catheterization of the radial artery].
abstract: A 76-year-old patient developed necrosis of the index finger after placement of a radial artery catheter. This article discusses the risks associated with invasive blood pressure monitoring and treatment options in cases of critical ischemia. The authors conclude that there is no consensus concerning optimal treatment and that a discussion on options for preoperative risk assessment and quickest possible recognition of such complications is worthwhile. Despite the risk of ischemia invasive blood pressure monitoring is an indispensable procedure.
authors.affiliation: Chirurgische Klinik, Spital Uster, Uster, Schweiz.
authors.forename: I
authors.initials: I
authors.lastname: Pasternak
authors.forename: M
authors.initials: M
authors.lastname: Rees
authors.forename: A
authors.initials: A
authors.lastname: Steinauer
authors.forename: S
authors.initials: S
authors.lastname: Plaschy
authors.forename: T
authors.initials: T
authors.lastname: Hillermann
mesh_terms: D000368:Aged; D000671:Amputation, Surgical; D000925:Anticoagulants / Q000627:therapeutic use; D001795:Blood Pressure Determination / Q000009:adverse effects; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005385:Fingers / Q000098:blood supply / Q000473:pathology; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016343:Monitoring, Intraoperative / Q000009:adverse effects; D009336:Necrosis; D017534:Radial Artery; D012039:Regional Blood Flow; D018570:Risk Assessment
chemical_list: D000925:Anticoagulants