COMPLICATIONS of retrograde femoral or brachial artery catheterization for radiographic visualization of the heart and blood vessels are not rare. However, spontaneous recovery from most of the complications is the rule. Especially is this so in the case of brachial artery catheterization where arterial spasm is a frequent sequel to the procedure but viability of the lower arm is not lost. Recently, however, we had the opportunity to treat with a bypass graft a patient who developed severe, prolonged ischemia of the arm while undergoing brachial artery catheterization. Because this complication is rarely encountered and because this is the first successful treatment of it with a graft to the radial artery, to our knowledge, the case is being reported.
Report of a Case
The patient (MSH No. 225425) was admitted to Mount Sinai Hospital on July 15, 1963. He was a 51-year-old truck driver who in January 1963 developed an