Complex Regional Pain Syndrome after transfemoral coronary balloon angioplasty

Parikh, Rohan P; Deshmukh, Pradeep

doi:10.5543/tkda.2016.96507

Cited by 1 publication

(2 citation statements)

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“…For what concerns vascular procedures, Lai et al described a case of CRPS I of right-hand in a 73-year-old male after a right-side transradial approach for PTCA [ 17 ] with signs and symptoms persisting for 3 months after the procedure and treated through non-pharmacological interventions. Parikh et al [ 18 ] reported a case of a 55-year-old man presenting with CRPS of the right foot and ankle after transfemoral coronary balloon angioplasty occurring few weeks after the intervention, and treated with physiotherapy and opioids; however, the authors did not report any detail about the safety and effectiveness of this therapeutic option.…”

Section: Discussionmentioning

confidence: 99%

“…However, considering that any biological stimulus could provoke CRPS, including invasive procedures, we speculated that coronary angioplasty might be linked to the onset of CRPS. Only one case of CRPS of the ankle associated with transfemoral coronary balloon angioplasty has previously been published [ 18 ]. However, neither the potential pathophysiological mechanisms nor a specific therapeutic approach have been described.…”

Section: Discussionmentioning

confidence: 99%

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Complex Regional Pain Syndrome Type I Following Non-Orthopedic Surgery: Case Report and Narrative Review

et al. 2021

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Complex regional pain syndrome type I (CRPS I)—or algodystrophy—is a rare disease that usually occurs after a traumatic event. It is characterized by typical clinical findings such as severe and disabling pain disproportionate to the injury, functional limitations, as well as sensory and vasomotor alterations. However, some people do not report any injury associated with algodystrophy onset in personal history. We describe the management of an unusual case of CRPS I which occurred during the long-term follow-up of percutaneous transluminal coronary angioplasty (PTCA) and performed a narrative review of algodystrophy in non-orthopedic surgery. A clinical case of a 44-year-old man with a spontaneous onset of CRPS I of the right ankle is presented. He did not refer to history of any memorable significant trigger event. Approximately 5 months before the onset of clinical manifestations, he received a PTCA via the right femoral approach. We suppose an association between CRPS and this procedure and propose a possible pathophysiologic mechanism. The patient was treated with intramuscular neridronate, which resulted in significant pain relief and improved his quality of life. A comprehensive clinical and instrumental evaluation in patients with CRPS is challenging but mandatory for a correct diagnosis. An extensive analysis of patient history is important for identifying any potential trigger event, including non-orthopedic procedures. Bone scan could have a pivotal role for improving diagnostic sensitivity and specificity in CRPS I. Neridronate was a safe and effective therapeutic approach for this patient, confirming the results of the high-quality evidence available.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%