Accidental intra-arterial antecubital injection of fluorescein and indocyanine green dyes

Ophthalmic Surg Lasers Imaging. 2011:42 Online. doi: 10.3928/15428877-20100215-84.

Abstract

Indocyanine green (ICG) and fluorescein dyes were inadvertently injected into an antecubital artery during angiography. Apart from a slightly longer arm to retina time, ICG angiography was uneventful. In contrast, intra-arterial injection of fluorescein resulted in a dramatic yellowish discoloration of the arm distal to the injection site that was combined with stinging pain. Fluorescence of both dyes in the forearm could be recorded using a confocal scanning laser ophthalmoscope. The angiographic retinal image quality appeared normal. After about 5 hours, the skin discoloration had disappeared and there were no late complications.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Arm / pathology
  • Coloring Agents / administration & dosage
  • Coloring Agents / adverse effects*
  • Fluorescein / administration & dosage
  • Fluorescein / adverse effects*
  • Humans
  • Indocyanine Green / administration & dosage
  • Indocyanine Green / adverse effects*
  • Injections, Intra-Arterial
  • Male
  • Middle Aged
  • Pain / chemically induced
  • Pigmentation
  • Retinal Diseases / diagnosis

Substances

  • Coloring Agents
  • Indocyanine Green
  • Fluorescein