R Rautio1, L Keski-Nisula. 1. Department of Radiology, Turku University Hospital, Turku, Finland. riitta.rautio@tyks.fi
Abstract
PURPOSE: To evaluate the angiographic findings of patients who have inadvertently injected oral formulations of drugs into an upper extremity artery. MATERIAL AND METHODS: The radiology files for the previous 4 years were analyzed retrospectively. Seven patients were referred from the Emergency Department for angiography and possible thrombolysis during that time period. RESULTS: The worst clinical results were found among the patients whose angiographic examinations showed absent flow. Two patients who were treated with local thrombolysis had no better results compared to the other five patients. CONCLUSION: Findings of delayed flow and absent flow in angiography should lead to intensified conservative treatment, especially among patients who have clinical findings of delayed capillary refilling or/and impaired muscular strength.
PURPOSE: To evaluate the angiographic findings of patients who have inadvertently injected oral formulations of drugs into an upper extremity artery. MATERIAL AND METHODS: The radiology files for the previous 4 years were analyzed retrospectively. Seven patients were referred from the Emergency Department for angiography and possible thrombolysis during that time period. RESULTS: The worst clinical results were found among the patients whose angiographic examinations showed absent flow. Two patients who were treated with local thrombolysis had no better results compared to the other five patients. CONCLUSION: Findings of delayed flow and absent flow in angiography should lead to intensified conservative treatment, especially among patients who have clinical findings of delayed capillary refilling or/and impaired muscular strength.