Objectives: This presentation will highlight the importance of risk reduction and emphasizes practical techniques!

Objectives: Vacular adverse events are always challenging. Hyperbaric oxygen (HBOT) can help in treating these complications. However, up to recently very little literature was available as support or protocol for this type of therapy. Based on a recent publication I co-authored, the protocol for HBOT wil be elaborated.

Objectives: How to avoid complications and how to treat them

Introduction: A 62-year-old patient presented ischemia of the right dominant arm and hand after being injected with hyaluronic acid in an upper arm crease. Occlusion of the radial artery, the deep and superficial palmar arch and the common digital arteries, as well as the princeps pollicis artery, was caused by an accidental injection of HA into the brachial artery.

Materials / method: The patient was treated with a catheter-delivered injection of high dose (4.500 units) off- label hyaluronidase into the ulnar and radial artery and additional subcutaneous hyaluronidase application (1500 units) to the forearm and hand. In addition, a plexus catheter was placed 24 hours after initial treatment to achieve sympatholysis and promote vasodilatation. After a second intraarterial hyaluronidase injection (1500 units) combined with lysis therapy via alteplase and adjuvant hyperbaric oxygen therapy.

Results: Full revascularization of the right upper extremity was achieved.

Conclusion: We conclude that off-label treatment with high dose intra-arterial hyaluronidase led to successful restoration of blood circulation after vascular occlusion due to intraarterial HA injection.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Dr. Treacy has advocated for safer injection techniques to minimize the risks associated with facial fillers. His promotion of the supraorbital rather than the retro-orbital injection method is part of this advocacy.
This method involves injecting fillers in the forehead area above the orbit of the eye. The supraorbital method is deemed safer because it is further from the major blood vessels that can lead to the central retinal artery, thus potentially reducing the risk of accidentally inducing an embolism that could lead to blindness.

Objectives: One of the most serious complication is ocular complication and will show possible treatment of ocular complication.

Introduction: One of the most serious complication of HA filler injection is ocular complication. Many possible treatments are proposed but non of the treatment has been chosen until now.

Materials / method: We reviewed various treatment of ocular complication treatment induced by HA filler injection and we did experiment of rabbit eye. Retrobulbar HYAL injection and IATT injection.

Results: Retrobulbar HYAL injection and IATT experiment of rabbit showed possible treatment

Conclusion: One of the most important is the time and exact treatment

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability