Türk El ve Üst Ekstremite Cerrahisi Derneği
Türk El ve Üst Ekstremite Cerrahisi Derneği

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Management of extravasation injuries in upper extremity

Hasan Gocer, Serdar Ulusoy, Alper Cirakli, Sina Coskun, Engin Yosma.

Abstract
Introduction: When contrast agents and chemotherapeutic agents used for diagnosis and treatment through vascular access are extravasated, they may cause many complications, ranging from tissue necrosis to amputation. In this study, extravasation of certain agents was evaluated.
Material and methods: Five cases that developed from vancomycin, isotonic sodium, contrast agent and teicoplanin extravasation were examined.
Results: Three of the patients were female and two were male. Their mean age was 42.8 years. One of them had complications seen in the right and four had complications observed in the left upper extremity. One of these cases underwent wrist amputation, three had fasciotomy and repair, and one had fasciotomy, recurrent debridement and reconstruction with a split-thickness skin graft.
Conclusion: When extravasation is seen, the agent should stop being administered and the case should be monitored closely. In the situation of an increase in swelling and stiffness and absence of motion in the muscles and tendons, compartment syndrome should be considered and urgent fasciotomy should be performed. Early fasciotomy can be a savior while in where there is development of necrosis during late periods, amputation may be necessary.

Key words: Extravasation, fasciotomy, amputation

 

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How to Cite this Article
Pubmed Style

Gocer H, Ulusoy S, Cirakli A, Coskun S, Yosma E. Management of extravasation injuries in upper extremity. Hand Microsurg. 2017; 6(2): 81-86. doi:10.5455/handmicrosurg.221083


Web Style

Gocer H, Ulusoy S, Cirakli A, Coskun S, Yosma E. Management of extravasation injuries in upper extremity. www.scopemed.org/?mno=221083 [Access: November 23, 2017]. doi:10.5455/handmicrosurg.221083


AMA (American Medical Association) Style

Gocer H, Ulusoy S, Cirakli A, Coskun S, Yosma E. Management of extravasation injuries in upper extremity. Hand Microsurg. 2017; 6(2): 81-86. doi:10.5455/handmicrosurg.221083


Vancouver/ICMJE Style

Gocer H, Ulusoy S, Cirakli A, Coskun S, Yosma E. Management of extravasation injuries in upper extremity. Hand Microsurg. (2017), [cited November 23, 2017]; 6(2): 81-86. doi:10.5455/handmicrosurg.221083


Harvard Style

Gocer, H., Ulusoy, S., Cirakli, A., Coskun, S. & Yosma, E. (2017) Management of extravasation injuries in upper extremity. Hand Microsurg, 6 (2), 81-86. doi:10.5455/handmicrosurg.221083


Turabian Style

Gocer, Hasan, Serdar Ulusoy, Alper Cirakli, Sina Coskun, and Engin Yosma. 2017. Management of extravasation injuries in upper extremity. Hand and Microsurgery, 6 (2), 81-86. doi:10.5455/handmicrosurg.221083


Chicago Style

Gocer, Hasan, Serdar Ulusoy, Alper Cirakli, Sina Coskun, and Engin Yosma. “Management of extravasation injuries in upper extremity.” Hand and Microsurgery 6 (2017), 81-86. doi:10.5455/handmicrosurg.221083


MLA (The Modern Language Association) Style

Gocer, Hasan, Serdar Ulusoy, Alper Cirakli, Sina Coskun, and Engin Yosma. “Management of extravasation injuries in upper extremity.” Hand and Microsurgery 6.2 (2017), 81-86. Print. doi:10.5455/handmicrosurg.221083


APA (American Psychological Association) Style

Gocer, H., Ulusoy, S., Cirakli, A., Coskun, S. & Yosma, E. (2017) Management of extravasation injuries in upper extremity. Hand and Microsurgery, 6 (2), 81-86. doi:10.5455/handmicrosurg.221083