case_images: PMC3819912_01
case_images: Digital involvement of the right hand 8 hours after brachial artery cannulation.
case_images: CRIM.PEDIATRICS2013-608516.001.jpg
case_images: PMC3819912_01_CRIM.PEDIATRICS2013-608516.001.jpg
case_images: fig1
case_images: Due to the severity of illness and need for arterial access, a decision was made to insert a right brachial artery catheter, but after 8 hours the middle, ring, and index fingers of the right hand were noted to be cold, and cyanosed, and the arterial line was immediately removed (Figure 1).
case_images: Signs of early necrosis in the finger tips.
case_images: CRIM.PEDIATRICS2013-608516.002.jpg
case_images: PMC3819912_01_CRIM.PEDIATRICS2013-608516.002.jpg
case_images: fig2
case_images: Ischemic changes soon became evident and 4 hours later progressed to involve the distal part of the fingers which started showing signs of probable early necrosis (Figure 2).
case_images: Resolving ischemia of the 2nd, 3rd, 4th and 5th fingers, 5 days after the ischemic event (dorsal and palmar aspects of the hand).
case_images: CRIM.PEDIATRICS2013-608516.003.jpg
case_images: PMC3819912_01_CRIM.PEDIATRICS2013-608516.003.jpg
case_images: fig3
case_images: By day 12, the area of ischemia was limited to the tips of the fingers, and treatment was discontinued on day 21 (Figures 3 and 4).
case_images: Residual ischemia at the tip of the middle finger after 10 days.
case_images: CRIM.PEDIATRICS2013-608516.004.jpg
case_images: PMC3819912_01_CRIM.PEDIATRICS2013-608516.004.jpg
case_images: fig4
case_images: By day 12, the area of ischemia was limited to the tips of the fingers, and treatment was discontinued on day 21 (Figures 3 and 4).
case_images: Complete resolution 7 weeks after the incident.
case_images: CRIM.PEDIATRICS2013-608516.005.jpg
case_images: PMC3819912_01_CRIM.PEDIATRICS2013-608516.005.jpg
case_images: fig5
case_images: The nail beds were intact with full restorative function of the fingers (Figure 5).