Critical Ischaemia Following Endovascular Instrumentation: Resolution
with General Anaesthetic
DG Ezra, TA Roman, ND Mansfield, MB Matson,
FW Cross
Corresponding address: Dr. Matthew Matson,
Department of Radiology, Royal London Hospital, Whitechapel Road,
London E1 1BB
Abstract
Critical ischaemia of the lower limb secondary
to occlusion of the puncture site vessel is an unusual but well-recognised
complication of endovascular intervention. We present two patients
who developed such a complication. In each case the initial treatment
plan was to perform an emergency thrombectomy. However, both cases
were found to resolve dramatically with the administration of
isofluorane and fentanyl anaesthetic agents.
Key words
Arteries, interventional procedures, anaesthesia,
complications
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