Acute ischaemia of the hand following accidental radial artery infusion of Depo-Medrone.

Abstract

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.

• Authors: P Taweepoke, J D Frame
• Journal: Journal of hand surgery (Edinburgh, Scotland) (J Hand Surg Br) Vol. 15 Issue 1 Pg. 118-20 (Feb 1990) ISSN: 0266-7681 [Print] Scotland
• PMID: 2307872 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Inflammatory Agents
• Methylprednisolone Acetate
• Methylprednisolone

Topics

• Acute Disease
• Anti-Inflammatory Agents (adverse effects)
• Female
• Hand (blood supply)
• Humans
• Infusions, Intra-Arterial
• Ischemia (chemically induced)
• Methylprednisolone (adverse effects, analogs & derivatives)
• Methylprednisolone Acetate
• Middle Aged
• Wrist (blood supply)