Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17325
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dc.contributor.authorWeinberg, Laurence-
dc.contributor.authorAbu-Ssaydeh, Diana-
dc.contributor.authorSpanger, Manfred-
dc.contributor.authorLu, Patrick-
dc.contributor.authorLi, Michael H-G-
dc.date2017-12-27-
dc.date.accessioned2018-04-03T04:55:58Z-
dc.date.available2018-04-03T04:55:58Z-
dc.date.issued2018-
dc.identifier.citationInternational journal of surgery case reports 2018; 42: 269-273-
dc.identifier.issn2210-2612-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17325-
dc.description.abstractBrachial arterial catheters provide a more accurate reflection of central aortic arterial pressure compared to their radial counterparts. Although brachial arterial line complications are uncommon, we report a case of a rare iatrogenic brachial artery dissection with complete anterograde occlusion from elective arterial line placement. A 41-year-old female presented for a right upper and middle lobe resection of a large neuroendocrine lung cancer. A brachial arterial line was inserted for continuous blood pressure monitoring using clinical landmarks. Six hours postoperatively the left hand was noted to be pale, cool and pulseless with complete paraesthesia. Thrombus was initially suspected on computed tomography angiography. Upon return to theatre, extensive dissection of the posterior brachial arterial wall was identified. We review our diagnostic pathway and treatment of this rare complication. Recommendations to minimise the risks of complications from brachial arterial line insertion are also overviewed. We recommend the routine utilization of ultrasound-guided technique and regular post-insertion neurovascular monitoring for the prevention and early recognition of complications from brachial artery catheter insertion.-
dc.language.isoeng-
dc.subjectAnaesthesia-
dc.subjectArterial catheter-
dc.subjectBrachial artery-
dc.subjectCase report-
dc.subjectIschaemia-
dc.titleCase report: Iatrogenic brachial artery dissection with complete anterograde occlusion during elective arterial line placement.-
dc.typeJournal Article-
dc.identifier.journaltitleInternational journal of surgery case reports-
dc.identifier.affiliationDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationDepartment of Surgery, University of Melbourne, Austin Health, Victoria, Australia-
dc.identifier.affiliationDepartment of Radiology, Box Hill Hospital, Box Hill, Victoria, 3128, Australia-
dc.identifier.doi10.1016/j.ijscr.2017.12.034-
dc.identifier.orcid0000-0001-7403-7680-
dc.identifier.pubmedid29329067-
dc.type.austinJournal Article-
local.name.researcherLi, Michael H-G
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptAnaesthesia-
crisitem.author.deptAnaesthesia-
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