Volume 73 Number 8 December 2006	back to contents

¹Assistant Professor, Division of Plastic and Reconstructive Surgery, ²Associate Professor, Department of Anesthesiology, ³Assistant Professor and ⁴Associate Professor, Division of Pediatric Critical Care Medicine, Maria Fareri Children’s Hospital, Valhalla, NY.

Address all correspondence to Peter J. Taub, M.D., F.A.C.S., F.A.A.P., 139 East 94th Street, New York, NY 10128; e-mail: peter@pjtaub.com

Awarded best paper, Section of Plastic Surgery, at the American Academy of Pediatrics Annual Meeting, held in Washington, DC, 2005.

Accepted for publication December 2005.

Abstract

Each year, a large number of infants and children undergo vascular catheterization via access in a lower extremity. The femoral system is relatively easy to cannulate, and this approach avoids use of more central access approaches that may present more serious complications. Infrequently, however, pediatric patients develop acute ischemia of the ipsilateral lower extremity. Several surgical and nonsurgical treatment options exist for the management of such problems. However, no adequate protocol exists for the management of acute lower extremity ischemia in the pediatric population. The authors present several cases of distal lower extremity ischemia as a result of femoral artery catheterization and offer a protocol for management of similar cases.

Key Words

Pediatric, ischemia, extremity, protocol

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