* Corresponding Author
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.
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Maeckelbergh L, Colen S, Anné L. Upper arm compartment syndrome: a case report and review of the literature. Orthop Surg 2013; 5(3):229-32.
https://doi.org/10.1111/os.12054
2.Gumbs S. Acute compartment syndrome: a literature review and updates. Clini J Surg. 2019;2(2):1–5.
https://asclepiusopen.com/clinical-journal-of-surgery/volume-2-issue-2/1.pdf
3.Garner MR, Taylor SA, Gausden E, Lyden JP. Compartment syndrome: diagnosis, management, and unique concerns in the twenty-first century. HSS J 2014; 10(2):143-52.
https://doi.org/10.1007/s11420-014-9386-8
4.Torlincasi AM, Lopez RA, Waseem M. Acute Compartment Syndrome. [Updated 2022 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
https://www.ncbi.nlm.nih.gov/books/NBK448124/
5.McMillan TE, Gardner WT, Schmidt AH, Johnstone AJ. Diagnosing acute compartment syndrome-where have we got to? Int Orthop 2019; 43(11):2429-35.
https://doi.org/10.1007/s00264-019-04386-y
6.Riley DS, Barber MS, Kienle GS, Aronson JK, von Schoen-Angerer T, Tugwell P, et al. CARE guidelines for case reports: explanation and elaboration document. J Clin Epidemiol. 2017 Sep;89:218–235.
https://doi.org/ 10.1016/j.jclinepi.2017.04.026
7.Tizón-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(5):380-4.
https://doi.org/10.1111/j.1540-8183.2008.00361.x
8.Gergoudis M, Raizman N. Acute compartment syndrome as a complication of radial artery catheterization. J Hand Surg Glob Online 2022; 4(4):230-2.
https://doi.org/10.1016/j.jhsg.2022.03.002
9.Goirigolzarri-Artaza J, Casado-Álvarez R, Benítez-Peyrat J, León-Aliz E, Goicolea J, García-Touchard A. Acute compartment syndrome of the hand after transradial catheterization. Rev Esp Cardiol (Engl Ed) 2017; 70(8):672-3.
https://doi.org/10.1016/j.rec.2016.11.026
10.Hung MJ, Mao CT, Kao YC, Hung MY. Delayed onset of forearm compartment syndrome after transradial percutaneous coronary intervention. Int J Cardiol 2015; 178:77-8.
https://doi.org/10.1016/j.ijcard.2014.10.173
11.Jue J, Karam JA, Mejia A, Shroff A. Compartment syndrome of the hand: a rare sequela of transradial cardiac catheterization. Texas Hear Inst J 2017; 44(1):73-6.
https://doi.org/10.14503/THIJ-16-5795
12.Omori S, Miyake J, Hamada K, Naka N, Araki N, Yoshikawa H. Compartment syndrome of the arm caused by transcatheter angiography or angioplasty. Orthopedics 2013; 36(1):121-5.
https://doi.org/10.3928/01477447-20121217-31
13.Byrne AM, Kearns SR, Kelly EP. Posterior compartment syndrome associated with clopidogrel therapy following trivial trauma. Emerg Med J. 2006;23(9):697–8.
14.Titolo P, Milani P, Panero B, Ciclamini D, Colzani G, Artiaco S. Acute compartment syndrome of the arm after minor trauma in a patient with optimal range of oral anticoagulant therapy: a case report. Case Rep Orthop 2014; 2014:980940.
https://doi.org/10.1155/2014/980940
15.Parvizi J, Della Valle CJ. AAOS Clinical Practice Guideline: diagnosis and treatment of periprosthetic joint infections of the hip and knee. J Am Acad Orthop Surg 2010; 18(12):771-2.
https://doi.org/10.5435/00124635-201012000-00007
DOI: https://doi.org/10.19106/JMedSci005502202308
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