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Cardiovascular Intervention and Therapeutics

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01-04-2016 | Case Report

Acute compartment syndrome occurring in forearm with relatively small amount of hematoma following transradial coronary intervention

Authors: Atsuhiko Sugimoto, Jotaro Iwamoto, Naoko Tsumuraya, Masakazu Nagaoka, Yuji Ikari

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2016

Abstract

A 59-year-old female with angina pectoris successfully underwent percutaneous coronary intervention via the right radial artery. She complained of right forearm pain and numbness 4.5 h after the procedure. Though the swelling in her right arm seemed relatively mild, pressure measurement showed significant increase of internal forearm pressure. She developed acute compartment syndrome in the right forearm, and fasciotomy was performed immediately. The weight of subcutaneous hematoma in her right arm was approximately 100 g. Symptoms of paralysis and the impairment of perception remained for some time, but had completely recovered 4 months post-surgery.

Rao SV, Ou FS, Wang TY, Roe MT, Brindis R, Rumsfeld JS, et al. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2008;1:379–86.CrossRefPubMed

Numasawa Y, Kohsaka S, Miyata H, Kawamura A, Noma S, Suzuki M, et al. Safety of transradial approach for percutaneous coronary intervention in relation to body mass index: a report from a Japanese multicenter registry. Cardiovasc Interv Ther. 2013;28:148–56.CrossRefPubMed

Tizon-Marcos H, Barbeau GR. Incidence of compartment syndrome of the arm in a large series of transradial approach for coronary procedures. J Interv Cardiol. 2008;21:380–4.CrossRefPubMed

Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J. 2009;157:132–40.CrossRefPubMed

Bertrand OF, Larose E, Rodés-Cabau J, Gleeton O, Taillon I, Roy L, et al. Incidence, predictors, and clinical impact of bleeding after transradial coronary stenting and maximal antiplatelet therapy. Am Heart J. 2009;157:164–9.CrossRefPubMed

Bazemore E, Mann JT 3rd. Problems and complications of the transradial approach for coronary interventions: a review. J invasive Cardiol. 2005;3:156–9.

Tizón-Marcos H, Bertrand OF, Rodés-Cabau J, Larose E, Gaudreault V, Bagur R, et al. Impact of female gender and transradial coronary stenting with maximal antiplatelet therapy on bleeding and ischemic outcomes. Am Heart J. 2009;157:740–5.CrossRefPubMed

Araki T, Itaya H, Yamamoto M. Acute compartment syndrome of the forearm that occurred after transradial intervention and was not caused by bleeding or hematoma formation. Caterter Cardiovasc Interv. 2010;75:362–5.

Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study. Am Coll Cardiol. 1997;29:1269–75.CrossRef

Title: Acute compartment syndrome occurring in forearm with relatively small amount of hematoma following transradial coronary intervention
Authors: Atsuhiko Sugimoto
Jotaro Iwamoto
Naoko Tsumuraya
Masakazu Nagaoka
Yuji Ikari
Publication date: 01-04-2016
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 2/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-015-0328-2

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Acute compartment syndrome occurring in forearm with relatively small amount of hematoma following transradial coronary intervention

Abstract

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