Successful Thrombolysis and Spasmolysis of Acute Leg Ischemia after Accidental Intra-arterial Injection of Dissolved Flunitrazepam Tablets
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : B. Radeleff U. Stampfl C.-M. Sommer N. Bellemann A. Hyhlik-Duerr M.-A. Weber D. Boeckler H.-U. Kauczor
- چاپ و سال / کشور: 2011
Description
A 37-year-old man with known intravenous drug abuse presented in the surgical ambulatory care unit with acute leg ischemia after accidental intra-arterial injection of dissolved flunitrazepam tablets into the right femoral artery. A combination of anticoagulation, vasodilatation, and local selective and superselective thrombolysis with urokinase was performed to salvage the leg. As a result of the severe ischemia-induced pain, the patient had to be monitored over the complete therapy period on the intensive care unit with permanent administration of intravenous fluid and analgetics. We describe the presenting symptoms and the interventional technique, and we discuss the recent literature regarding the management of accidental intra-arterial injection of dissolved flunitrazepam tablets.
Cardiovasc Intervent Radiol DOI 10.1007/s00270-011-0173-3 Received: 2 September 2010 / Accepted: 18 April 2011
