Issue |
J Extra Corpor Technol
Volume 14, Number 5, October 1982
|
|
---|---|---|
Page(s) | 453 - 458 | |
DOI | https://doi.org/10.1051/ject/1982145453 | |
Published online | 19 September 2023 |
Proceedings
The Preservation of a Traumatically Amputated Limb Utilizing Crystalloid Cardioplegia Solution—A Case Report
Department of Circulation Technology, Mobile Infirmary, Mobile, Alabama 36652
* Address reprints to: WiUiam G. Maurer, B.S., C.C.T., Mobile Infirmary, Post Office Box 2144, Mobile, Alabama 36652.
This report describes a technique used to preserve a traumatically amputated arm of a twelveyear-old male.
Potassium cardioplegic solution was continuously perfused at 4°C via the brachial artery of the amputated limb. The perfusion was started approximately 40 minutes after the traumatic amputation occurred. Perfusion was discontinued prior to reattachment of the basilic, cephalic, and brachial vein and prior to reattachment of the brachial artery. Twenty-four hours post-operation, the limb was perfusing well and had excellent radial and ulner pulses and minimal edema. During the immediate postoperative period, the patient had excellent arterial flow and no evidence of venous obstruction. The patient is now five months postreplantation and demonstrates remarkable and early recovery of neuromuscular function.
In this case, the use of potassium cardioplegic solution provided excellent protection to the amputated limb until normal circulation could be reestablished.
© 1982 AMSECT
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