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June 27, 1953


JAMA. 1953;152(9):871. doi:10.1001/jama.1953.03690090095030

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To the Editor:  —In regard to the article entitled "Gangrene Following Intra-Arterial Transfusion," by Blakemore, Dumke, and Rhoads, in The Journal, March 21, page 988, it should be pointed out that the technique of intra-arterial transfusion employed by these workers is inherently hazardous and should be abandoned. It is unnecessary to ligate an artery being used for intra-arterial transfusion purposes. It is natural that the application of a ligature will necessarily produce problems of gangrene as the authors indicate with reference to the anatomy of the hand.Reference should be made to the article in The Journal, May 31, 1952, page 418, in which a technique is described that employs simply the introduction of a pencil point type needle or a Lindemann type needle into the exposed artery in a centripetal direction. This cannulization is performed just as if one were doing a venipuncture. A ligature may be placed about

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