Medical image of the week: vascular occlusion
| Autor: | Allison Shapiro, Carmen Luraschi-Monjagatta, Matthew Schreiber |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
ulnar artery
medicine.medical_specialty lcsh:R5-130.5 business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid ischemia lcsh:RC86-88.9 intra-arterial hypercoagulation Vascular occlusion vascular occulsion necrosis angiogram radial artery medicine idiopathic angiography Radiology medicine.symptom business thrombosis lcsh:General works |
| Zdroj: | Southwest Journal of Pulmonary and Critical Care, Vol 9, Iss 1, Pp 36-37 (2014) |
| ISSN: | 2160-6773 |
| DOI: | 10.13175/swjpcc093-14 |
| Popis: | The patient is a 39 year-old woman with no significant past medical history presenting with progressive left hand pain for five days. The patient denied a history of Raynaud’s phenomenon or clotting disorders. She had no radial pulse on presentation and angiogram showed severe complete occlusion of the radial and ulnar arteries (Figures 1 and 2). She had an initial partial response with intra-arterial verapamil and nitroglycerin but her hand ischemia did not improve on heparin or with intra-arterial tissue plasminogen activator. Autoimmune and coagulation work-ups were negative. Her left hand finger necrosis at time of discharge is shown (Figure 3). Further evaluation is ongoing for coagulation disorders. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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