Acute Brachial Artery Thrombosis in a Neonate Caused by a Peripheral Venous Catheter
| Autor: | Hans-Joerg Hertfelder, Nico Hepping, Emilia Stegemann, Simon Berzel, Katja Schneider |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry lcsh:RJ1-570 lcsh:Pediatrics Case Report General Medicine Heparin medicine.disease Thrombosis Brachial artery thrombosis Surgery Internal medicine medicine.artery Occlusion medicine Cardiology Peripheral venous catheter Acute thrombosis Brachial artery business Perfusion medicine.drug |
| Zdroj: | Case Reports in Pediatrics Case Reports in Pediatrics, Vol 2014 (2014) |
| ISSN: | 2090-6811 2090-6803 |
| Popis: | This case describes the diagnostic testing and management of an acute thrombosis of the brachial artery in a female neonate. On day seven of life, clinical signs of acutely decreased peripheral perfusion indicated an occlusion of the brachial artery, which was confirmed by high-resolution Doppler ultrasound. Imaging also showed early stages of collateralization so that surgical treatment options could be avoided. Unfractionated heparin was used initially and then replaced by low-molecular-weight heparin while coagulation parameters were monitored closely. Within several days, brachial artery perfusion was completely restored. Acetylsalicylic acid was given for additional six weeks to minimize the risk of recurring thrombosis. If inadequately fixated in a high-risk location, a peripheral venous catheter can damage adjacent structures and thus ultimately cause arterial complications. |
| Databáze: | OpenAIRE |
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