ePlasty: Vol. 14
Intra-arterial Thrombolysis for Postoperative Digital Ischemia: A Case Report
Johnny I. Efanov, MD,a Andrei Odobescu, MD,a Marie-France Giroux, MD,b Patrick G. Harris, MD,a and Michel A. Danino, MD, PhDa

aPlastic and Reconstructive Surgery; and bDivision of Interventional Radiology, University of Montreal Hospital Center, Montreal, Quebec, Canada

Correspondence: michel.alain.danino@umontreal.ca
Keywords: digital ischemia, iatrogenic, intimal injury, subacute, thrombolysis

Objective: Surgical repair of digital flexion deformities can result in vascular injuries threatening the viability of the affected digit. While uncommon, these injuries are reported to have a rate as high as 0.8% following palmo-digital fasciectomy for Dupuytren's disease. Late presentation of such vascular events pose a challenge, since taking the patient to the operating room does not guarantee success. Methods: We report a case of subacute digital ischemia that presented 10 days following correction of a boutonniere deformity treated with intra-arterial thrombolysis. There were no particular intraoperative complications. The thrombolytic regimen consisted of Alteplase (Roche, Mississauga, Canada) 2 mg bolus and 1  .......