Acute Compartment Syndrome of the Hand After Transradial Catheterization

Goirigolzarri‐Artaza, Josebe; Casado-Álvarez, Raquel; Benitez-Peyrat, J.; León-Aliz, Ebrey; Goicolea, Javier; García‐Touchard, Arturo

doi:10.1016/j.rec.2016.11.026

Cited by 5 publications

(10 citation statements)

References 3 publications

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“…While paresthesia and paralysis are delayed findings, edema is an early symptom. 5 In many studies, open or closed fractures have been reported as the most common cause of CS. Soft tissue and/or vascular injuries without fractures are other important causes of ACS.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Upper Extremity Peripheral Nerve Injury Due to Compartment Syndrome After Drug Intoxication and Hemodialysis

Güvener¹,

İncel²,

Sarikaya³

2021

J PMR Sci

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Acute compartment syndrome (ACS) is a painful condition disrupting local circulation due to increased interstitial pressure and mostly seen at the lower extremities, but upper extremities might be affected too. Although the most common cause of ACS is known to be fractures, isolated vascular injuries, complicated interventional procedures, anticoagulant treatments and pathologies with the increased risk of bleeding, rhabdomyolysis etc. may result in this condition. Once the diagnosis is made, fasciotomy should be performed as early as possible, as delayed decompression will cause irreversible ischemic damage to the muscles. [1][2][3] Complex regional pain syndrome (CRPS) is an entity characterized by hyperalgesia, allodynia and vasomotor,

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Section: Discussionmentioning

confidence: 99%

Bilateral Upper Extremity Peripheral Nerve Injury Due to Compartment Syndrome After Drug Intoxication and Hemodialysis

Güvener¹,

İncel²,

Sarikaya³

2021

J PMR Sci

View full text Add to dashboard Cite

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“…The transradial approach to cardiac catheterization is commonly preferred to the transfemoral approach due to lower risks of access site bleeding and major vascular complications and to lower morbidity and cost overall. 1 , 2 Known risks of the transradial approach include radial artery spasm, radial artery occlusion, and forearm access site hematoma. 1 The incidence of compartment syndrome in the forearm or hand following transradial catheterization is less than 0.01% and is generally not a complication discussed with patients prior to the procedure.…”

mentioning

confidence: 99%

“… 1 , 2 Known risks of the transradial approach include radial artery spasm, radial artery occlusion, and forearm access site hematoma. 1 The incidence of compartment syndrome in the forearm or hand following transradial catheterization is less than 0.01% and is generally not a complication discussed with patients prior to the procedure. 3 However, a simple forearm hematoma may quickly progress to acute compartment syndrome, especially in the presence of anticoagulation.…”

mentioning

confidence: 99%

“…syndrome isolated to the hand is even more rare. 1 , 5 Hadad and colleagues 2 discussed compartment syndrome as a possible sequela of transradial catheterization and cannulation but, other than a single figure within their review, no cases have been published in the past within the orthopedic or hand surgery literature. The administration of supratherapeutic anticoagulation and the presence of atherosclerosis may represent additional risk factors in the cardiac catheterization population, which could lead to an increased risk of hematoma progressing to compartment syndrome.…”

mentioning

confidence: 99%

“…The administration of supratherapeutic anticoagulation and the presence of atherosclerosis may represent additional risk factors in the cardiac catheterization population, which could lead to an increased risk of hematoma progressing to compartment syndrome. 1 The reported incidence of compartment syndrome after transradial catheterization is too low to discern absolute risk factors; however, complications are dangerous and patient care teams should be well versed in proper protocol to avoid detrimental outcomes.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Acute Compartment Syndrome as a Complication of Radial Artery Catheterization

Gergoudis

Raizman

2022

Journal of Hand Surgery Global Online

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A case series of forearm compartment syndrome complicating transradial cardiac catheterization

Khirul Ashar,

Ismail,

Lingam

et al. 2024

Egypt Heart J

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Background Acute compartment syndrome following a transradial coronary approach is rare. However, as the incidence of coronary arterial disease increases due to lifestyle factors and multiple comorbidities, transradial coronary angiography has become more common for diagnostic and therapeutic purposes in cardiovascular centers. Despite its rarity, we encountered two cases of acute compartment syndrome within a 1-week interval in the cardiology unit of a tertiary hospital. Case presentation The first case involved a 75-year-old woman diagnosed with non-ST elevation myocardial infarction (NSTEMI). A coronary angiogram was performed via an uncomplicated right radial artery puncture. Following the procedure, the patient experienced significant swelling in the right forearm. An emergency fasciotomy release of the right forearm was conducted, revealing a gushing hematoma upon entering the flexor compartment. Fortunately, the wound healed well two months postoperatively with no functional deficits. In the second case, an 80-year-old man presented with severe angina pectoris upon exertion and was diagnosed with NSTEMI. The following day, he developed compartment syndrome in the left forearm, necessitating an emergency fasciotomy. Intraoperative examination revealed muscle bulging within the forearm compartments accompanied by extensive hematoma. Postoperatively, a deranged coagulation profile caused oozing from the wound. However, since there was no arterial bleeding, a compression dressing was applied. This led to a gradual drop in hemoglobin levels and worsened his heart condition. Despite resuscitative efforts and attempts to correct the coagulopathy, the patient experienced cardiorespiratory arrest and succumbed to ischemic heart disease in failure. Conclusion Clinicians must remain vigilant in identifying this potentially limb-threatening condition. Patients with pre-existing anticoagulant therapy and underlying atherosclerotic disease are at a higher risk of bleeding complications. Implementing effective hemostasis techniques and promptly managing swelling can help prevent the occurrence of compartment syndrome. Timely assessment and maintaining a high level of clinical suspicion are paramount. If necessary, early consideration of decompressive fasciotomy is essential to avert catastrophic outcomes.

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Acute Compartment Syndrome of the Hand After Transradial Catheterization

Cited by 5 publications

References 3 publications

Bilateral Upper Extremity Peripheral Nerve Injury Due to Compartment Syndrome After Drug Intoxication and Hemodialysis

Bilateral Upper Extremity Peripheral Nerve Injury Due to Compartment Syndrome After Drug Intoxication and Hemodialysis

Acute Compartment Syndrome as a Complication of Radial Artery Catheterization

A case series of forearm compartment syndrome complicating transradial cardiac catheterization

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