Successful thrombolysis and spasmolysis of acute leg ischemia after accidental intra-arterial injection of dissolved flunitrazepam tablets.
Cardiovasc Intervent Radiol
; 34(5): 1085-9, 2011 Oct.
Article
em En
| MEDLINE
| ID: mdl-21553163
ABSTRACT
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.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Ansiolíticos
/
Terapia Trombolítica
/
Transtornos Relacionados ao Uso de Substâncias
/
Flunitrazepam
/
Isquemia
/
Perna (Membro)
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Cardiovasc Intervent Radiol
Ano de publicação:
2011
Tipo de documento:
Article