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November 1965

Management of Femoral Artery Obstruction: Complication of Femoral Venipuncture

Author Affiliations

From the departments of Surgery and Pediatrics, Margaret Hague Maternity Hospital and the New Jersey College of Medicine, Jersey City.

Am J Dis Child. 1965;110(5):570-571. doi:10.1001/archpedi.1965.02090030594016

THE DANGERS of femoral venipuncture have been poorly appreciated. Admittedly, there are few documented instances of complications among the countless venipunctures performed on pediatric patients. In a review of the recent literature only two cases of gangrene of the lower extremities1 and one case of arteriovenous fistula following venipuncture2 were found. However it is not rare for transient cyanosis of the lower extremities to occur after femoral venipuncture. The transient changes are attributed to vascular spasm, but persistence of this spasm may be an important factor in causing the irreversible changes that lead to gangrene. This process of irreversible change may be averted by prompt arteriotomy with exploration of the artery when the abnormal appearance of the extremity persists and fails to respond to local measures.

Report of a Case  A 2-week-old white male infant was brought to the Margaret Hague Maternity Hospital on July 31, 1964 for

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