Acute compartment syndrome: A rare but important complication of transradial cardiac catheterization
The transradial approach has become the gold-standard for coronary angiography. It is better tolerated by patients, associated with less bleeding, earlier post-procedure mobilization, and reduced mortality in patients with myocardial infarction. Given the hand’s dual arterial supply and extensive co...
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| Veröffentlicht in: | Journal of cardiology cases 2017-12, Vol.16 (6), p.183-185 |
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| creator | O’Donohoe, Tom J. Schrale, Ryan G. |
| description | The transradial approach has become the gold-standard for coronary angiography. It is better tolerated by patients, associated with less bleeding, earlier post-procedure mobilization, and reduced mortality in patients with myocardial infarction. Given the hand’s dual arterial supply and extensive collateral circulation, the risk of serious functional injury after radial catheterization is essentially reduced to zero. However, even a small amount of bleeding in the volar compartment can lead to compartment syndrome (CS) and permanent neurovascular injury. The purpose of this paper is to describe our experience with an unusual case of late-onset acute CS following transradial coronary angiography, and to summarize the available literature on this topic. |
| doi_str_mv | 10.1016/j.jccase.2017.07.012 |
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<Learning objective: The transradial approach has become the gold-standard for coronary angiography. However, in rare cases, this approach may be associated with bleeding and acute compartment syndrome. Patients on anticoagulants, and those who have severe atherosclerosis appear to be at increased risk of this complication. The diagnosis relies upon clinician awareness and vigilance, and affected patients require early decompressive fasciotomy to prevent permanent neurovascular injury.></description><identifier>ISSN: 1878-5409</identifier><identifier>EISSN: 1878-5409</identifier><identifier>DOI: 10.1016/j.jccase.2017.07.012</identifier><identifier>PMID: 30279830</identifier><language>eng</language><publisher>Japan: Elsevier Ltd</publisher><subject>Acute compartment syndrome ; Coronary angiography ; Percutaneous coronary intervention</subject><ispartof>Journal of cardiology cases, 2017-12, Vol.16 (6), p.183-185</ispartof><rights>2017 Japanese College of Cardiology</rights><rights>2017 Japanese College of Cardiology. Published by Elsevier Ltd. 2017 Japanese College of Cardiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3692-4a5988fa30d22be119e85322350b8f1b0fd7ef4fece3ad61424ecde8896150523</citedby><cites>FETCH-LOGICAL-c3692-4a5988fa30d22be119e85322350b8f1b0fd7ef4fece3ad61424ecde8896150523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149288/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jccase.2017.07.012$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3550,27924,27925,45995,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30279830$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O’Donohoe, Tom J.</creatorcontrib><creatorcontrib>Schrale, Ryan G.</creatorcontrib><title>Acute compartment syndrome: A rare but important complication of transradial cardiac catheterization</title><title>Journal of cardiology cases</title><addtitle>J Cardiol Cases</addtitle><description>The transradial approach has become the gold-standard for coronary angiography. It is better tolerated by patients, associated with less bleeding, earlier post-procedure mobilization, and reduced mortality in patients with myocardial infarction. Given the hand’s dual arterial supply and extensive collateral circulation, the risk of serious functional injury after radial catheterization is essentially reduced to zero. However, even a small amount of bleeding in the volar compartment can lead to compartment syndrome (CS) and permanent neurovascular injury. The purpose of this paper is to describe our experience with an unusual case of late-onset acute CS following transradial coronary angiography, and to summarize the available literature on this topic.
<Learning objective: The transradial approach has become the gold-standard for coronary angiography. However, in rare cases, this approach may be associated with bleeding and acute compartment syndrome. Patients on anticoagulants, and those who have severe atherosclerosis appear to be at increased risk of this complication. The diagnosis relies upon clinician awareness and vigilance, and affected patients require early decompressive fasciotomy to prevent permanent neurovascular injury.></description><subject>Acute compartment syndrome</subject><subject>Coronary angiography</subject><subject>Percutaneous coronary intervention</subject><issn>1878-5409</issn><issn>1878-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9UNtKAzEQDaLYUvsHIvmB1lz2kvVBKMUbCL7oc8gmszaluylJWqhfb9ZqrS8OA2dgZs6ZOQhdUjKlhBbXy-lSaxVgyggtpyQlZSdoSEUpJnlGqtOjeoDGISxJCk4zkYtzNOCElZXgZIjMTG8iYO3atfKxhS7isOuMdy3c4Bn2ygOuNxHbdu18VKndj66sVtG6DrsGR6-64JWxaoW18gl1wriACN5-fI1doLNGrQKMv3GE3u7vXuePk-eXh6f57HmieVGxSabySohGcWIYq4HSCkTOGeM5qUVDa9KYEpqsAQ1cmYJmLANtQIiqoDnJGR-h2z3velO3YHT6xquVXHvbKr-TTln5t9PZhXx3W5m4KiZEIsj2BNq7EDw0h11KZG-8XMq98bI3XpKUtNe9OtY9LP3Y_HsYpO-3FrwM2kKnwVgPOkrj7P8Kn17ImVQ</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>O’Donohoe, Tom J.</creator><creator>Schrale, Ryan G.</creator><general>Elsevier Ltd</general><general>Japanese College of Cardiology</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20171201</creationdate><title>Acute compartment syndrome: A rare but important complication of transradial cardiac catheterization</title><author>O’Donohoe, Tom J. ; Schrale, Ryan G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3692-4a5988fa30d22be119e85322350b8f1b0fd7ef4fece3ad61424ecde8896150523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute compartment syndrome</topic><topic>Coronary angiography</topic><topic>Percutaneous coronary intervention</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O’Donohoe, Tom J.</creatorcontrib><creatorcontrib>Schrale, Ryan G.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of cardiology cases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O’Donohoe, Tom J.</au><au>Schrale, Ryan G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute compartment syndrome: A rare but important complication of transradial cardiac catheterization</atitle><jtitle>Journal of cardiology cases</jtitle><addtitle>J Cardiol Cases</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>16</volume><issue>6</issue><spage>183</spage><epage>185</epage><pages>183-185</pages><issn>1878-5409</issn><eissn>1878-5409</eissn><abstract>The transradial approach has become the gold-standard for coronary angiography. It is better tolerated by patients, associated with less bleeding, earlier post-procedure mobilization, and reduced mortality in patients with myocardial infarction. Given the hand’s dual arterial supply and extensive collateral circulation, the risk of serious functional injury after radial catheterization is essentially reduced to zero. However, even a small amount of bleeding in the volar compartment can lead to compartment syndrome (CS) and permanent neurovascular injury. The purpose of this paper is to describe our experience with an unusual case of late-onset acute CS following transradial coronary angiography, and to summarize the available literature on this topic.
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| identifier | ISSN: 1878-5409 |
| ispartof | Journal of cardiology cases, 2017-12, Vol.16 (6), p.183-185 |
| issn | 1878-5409 1878-5409 |
| language | eng |
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| source | ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Acute compartment syndrome Coronary angiography Percutaneous coronary intervention |
| title | Acute compartment syndrome: A rare but important complication of transradial cardiac catheterization |
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