Acute compartment syndrome of the forearm after trans-radial approach to percutaneous coronary intervention: a case report

https://doi.org/10.19106/JMedSci005502202308

Istan Irmansyah Irsan(1*), Satria Pandu Persada Isma(2), Alifian Alifian(3), Muhammad Alwy Sugiarto(4)

(1) Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Brawijaya/Dr. Saiful Anwar Distric Hospital, Malang, East Java, Indonesia
(2) Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Brawijaya/Dr. Saiful Anwar Distric Hospital, Malang, East Java, Indonesia
(3) Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Brawijaya/Dr. Saiful Anwar Distric Hospital, Malang, East Java, Indonesia
(4) Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Brawijaya/Dr. Saiful Anwar Distric Hospital, Malang, East Java, Indonesia
(*) Corresponding Author

Abstract


Percutaneous coronary intervention (PCI) through transradial pathway is associated with lower risk of severe vascular problems comparing to transfemoral. It is reported that the acute compartment syndrome (ACS) in forearm is significant lower comparing to leg. A 47 y.o. male with ACS following a transradial approach of PCI due to inferior myocardial infarction was reported. The patient experienced pain and swelling in his right forearm for 7 hr after the procedure and was later brought to hospital and treated with emergency of fasciotomy. The patient showed good post-fasciotomy recovery on the first 2 wk and showed good DASH score after 4 wk. Quick diagnosis with prompt treatment makes a better outcome for the patient. Consequently, a high level of awareness to make the diagnosis as quickly and accurately management as possible could prevent morbidity caused by late and unrecognized management compartment syndrome eventually could make a better clinical outcome.


Keywords


Percutaneous coronary intervention; Acute compartment syndrome; trans radial approach PCI; Fasciotomy

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DOI: https://doi.org/10.19106/JMedSci005502202308

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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Based on a work at http://jurnal.ugm.ac.id/bik/.