EJVES Extra Abstract| Volume 44, ISSUE 5, P527, November 2012

Hydrofluoric Acid Burn of the Hand – A Rare Emergency

Open ArchivePublished:August 22, 2012DOI:
      Introduction: We report on successful endovascular treatment of a hydrofluoric acid burn to the hand.
      Report: A worker complained of severe pain in the fingers D II to D V after injury with 60% hydrofluoric acid. A digital subtraction angiography showed vasospasm of the common palmar digital artery. We selectively applied 20% calcium gluconate intra-arterially.
      After treatment all arteries were perfused. Alprostadil, acetylsalicylic acid and clopidogrel were administered in conjunction. Pain symptoms improved and sensory and motor functions were restored.
      Discussion: Immediate angiography and intra-arterial application of calcium gluconate are recommended to treat hydrofluoric acid burn to a limb.

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