Abstract
Thirty-three 6 month to 13 year (average 9 years) old children subjected to femoral artery catheterisation in the 1960s were reviewed 2–9 years (average 5 years) later. They were then 7–18 years old (average 14 years). The review included measurement of the circumference of each calf and oscillography. Of the patients in whom either of these methods had suggested obstruction of the circulation, 10 were selected at random and examined with plethysmography and/or arteriography.
The relatively high frequency of impaired circulation and growth of the limb found, appeared to warrant the conclusion that vascular catheterisation of children should always be followed by careful investigation for vascular obstruction, preferably with oscillography, and, if thrombosis is suspected by supplementary arteriography.
A firm diagnosis of thromboembolism after catheterisation with occlusion of a major limb artery motivates thromboectomy.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Amplatz, K.: A simple non-thrombogenic coating. Invest. Radiol.6, 280 (1971).
Bergentz, S. E., Hansson, L. O., Norbäck, B.: Surgical management of complications to arterial puncture. Ann. Surg.164, 1021 (1966).
Giddings, J. A., See, J. R., Lewis, R. D., Cosby, R. S.: Thromboembolism following coronary arteriography. Chest,61, 235 (1972).
Glancy, J. J., Fishbone, G., Heinz, E. R.: Nonthrombogenic arterial catheters. Amer. J. Roentgenol.108, 716 (1970).
Hall, R.: Vascular injuries resulting from arterial puncture of catheterisation. Brit. J. Surg.58, 513 (1971).
Hohn, A. R., Craenen, J., Lambert, E. C.: Arterial pulses following percutaneous catheterisation in children. Pediatrics43, 617 (1969).
Izuwaka, T., Varghese, P. J., Rowe, R. D.: Topical papaverine in arteriotomies in infnats and children: Effect on incidence of thrombosis. J. Pediat.72, 853 (1968).
Jacobsson, B.: Use of dextran in prophylaxis against thromboembolic complications in arterial catheterisation. Acta chir. scand. (Suppl.)387, 103 (1968).
Jacobsson, B.: Thromboembolism in vascular catheterisation. Diagnosis, cause and prevention. Thesis. Göteborg: Elanders, 1969.
Jacobsson, B., Bergentz, S. E., Ljungqvist, U.: Platelet adhesion and thrombus formation on vascular catheters in dogs. Acta radiol. (Diagn.)8, 221 (1969).
Jacobsson, B., Paulin, S., Schlossman, D.: Thromboembolism of leg following percutaneous catheterisation of femoral artery for angiography: Symptoms and signs. Acta radiol. (Diagn.)8, 97 (1969).
Jacobsson, B., Schlossman, D.: Thromboembolism of leg following percutaneous catheterisation of femoral artery for angiography: Predisposing factors. Acta radiol. (Diagn.)8, 108 (1969).
Jacobsson, B., Schlossman, D.: Thrombogenicity of vascular catheter materials in vitro. Acta radiol. (Diagn.) (in press).
Jacobsson, B., Schlossman, D.: Thrombogenicity of heparinised vascular catheters. Acta radiol. (Diagn.) (in press).
Kottke, B. A., Fairbarin, J. F., Davis, G. D.: Complications of arteriography. Circulation,30, 843 (1964).
Lang, E. K.: A survey of the complications of percutaneous retrograde arteriography. Radiology81, 257 (1963).
Machleder, H. I., Sweeney, J. P., Barker, W. F.: Pulseless arm after brachial artery catheterisation. Lancet1972 I, 407.
Mansfield, P. B., Gazzangia, A. B., Litwin, B. S.: Management of arterial injuries related to cardiac catheterisation in children and young adults. Circulation42, 501 (1970).
Mortensen, J. D.: Clinical sequelae from arterial needle puncture, cannulation and incision. Circulation35, 1118 (1967).
Neal, W. A., Reynolds, J. W., Jarvis, C. W., Williams, H. J.: Umbilical artery catheterisation: Demonstration of arterial thrombosis by aortography. Pediatrics50, 6 (1972).
Nejad, M. S., Klaper, M. A., Steggerda, F. R., Gianturco, C.: Clotting on the outer surfaces of vascular catheters. Radiology91, 248 (1968).
Paulin, S., Jacobsson, B., Schlossman, D.: Angiographie und ihre Leistungen. Stuttgart: Thieme 1968.
Real, F. J. P., Scarpelli, E. M., Ruttner, N., Rudolph, A. M.: Arteriotomy and local circulation in children: The value of oscillometry. J. Pediat.69, 372 (1966).
Schlossman, D.: Thrombogenicity of vascular catheter materials in vivo. Demonstration of differences between materials. Acta radiol. (Diagn.) (in press).
Siegelman, S. S., Caplan, L. H., Annes, G. P.: Complications of catheter angiography. Study with oscillometry and “pull-out” angiograms. Radiology91, 251 (1968).
Vengsarkar, A. S., Swan, H. J. C.: Arteriotomy for cardiac catheterisation and angiocardiography in infants and children. Proc. Mayo Clin.37, 619 (1962).
White, J. J., Talbert, J. L., Haller, J. A.: peripheral arterial injuries in infants and children. Ann. Surg.167, 757 (1968).
Wigger, H. J., Bransilver, B. R., Blanc, W. P.: Thrombosis due to catheterisation in infants and children. J. Pediat.76, 1 (1970).
Witney, R. J.: The measurement of volume changes in human limbs. J. Physiol.121, 1 (1953).
Vlad, P., Hohn, A., Lambert, E. C.: Retrograde arterial catheterisation of the left heart: Experience with 500 infants and children. Circulation29, 787 (1964).
Voci, G., Hamer, N. A. J.: Retrograde arterial catheterisation of the left ventricle. Amer. J. Cardiol.5, 493 (1960).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jacobsson, B., Carlgren, L.E., Hedvall, G. et al. A review of children after arterial catheterisation of the leg. Pediatr Radiol 1, 96–99 (1973). https://doi.org/10.1007/BF00973222
Issue Date:
DOI: https://doi.org/10.1007/BF00973222