Severe Calcification of Femoral Arteries Causes Tourniquet Failure Accompanied by Massive Bleeding.
J Am Podiatr Med Assoc
; 113(1)2023.
Article
in En
| MEDLINE
| ID: mdl-36905612
ABSTRACT
Tourniquet failure is attributed to inadequate tourniquet pressure, inadequate exsanguination, failure to compress medullary vessels within the bone, and incompressible calcified arteries. We herein report a case of massive bleeding using a properly functioning tourniquet in a patient who had bilateral calcified femoral arteries. When incompressible calcified arteries are present, the inflated tourniquet cuff fails to adequately compress the underlying artery, yet acts as an efficient venous tourniquet, which leads to an increase in bleeding. It is therefore critical to preoperatively confirm the effectiveness of the tourniquet in arterial occlusion in patients with severe arterial calcification.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Calcinosis
/
Femoral Artery
Type of study:
Etiology_studies
Limits:
Humans
Language:
En
Journal:
J Am Podiatr Med Assoc
Journal subject:
PODIATRIA
Year:
2023
Document type:
Article
Affiliation country: