ABSTRACT
Intra-arterial application of dissolved tablets is associated with a high risk of tissue necrosis. An early active vasodilatating and recanalising treatment is necessary. We present the case of 21-year-old female who applied three dissolved Flunitrazepam tablets into the ulnar artery and was successfully treated with prostaglandin E1 and recombinant tissue plasminogen activator.
Subject(s)
Anti-Anxiety Agents/adverse effects , Flunitrazepam/adverse effects , Hand/blood supply , Ischemia/chemically induced , Substance-Related Disorders/complications , Adult , Alprostadil/administration & dosage , Angiography/drug effects , Anti-Anxiety Agents/administration & dosage , Female , Fingers/blood supply , Flunitrazepam/administration & dosage , Heparin/administration & dosage , Humans , Injections, Intra-Arterial , Ischemia/diagnostic imaging , Ischemia/drug therapy , Solubility , Tablets , Tissue Plasminogen Activator/administration & dosage , Ulnar Artery/diagnostic imaging , Ulnar Artery/drug effects , Vasodilator Agents/administration & dosageABSTRACT
We present a case of a young male patient with recurrent subclavian vein thrombosis due to conducting after prior successful thrombolytic therapy. Musculoskeletal problems are common among musicians. A thoracic outlet syndrome associated to a profession induced thrombosis in a musician has not been described before. Surgical removal of the first rip can prevent recurrent thrombotic occlusion of the subclavian vein, but was not performed in this patient. Considering the specific situation of a young musician there is no information whether surgical or conservative treatment is suitable to allow a successful career as an active musician.