J Korean Soc Surg Hand.  2017 Jun;22(2):112-116. 10.12790/jkssh.2017.22.2.112.

Forearm Compartment Syndrome after Transradial Percutaneous Coronary Artery Intervention

Affiliations
  • 1Department of Orthopedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. yoojoon@catholic.ac.kr

Abstract

Transradial percutaneous coronary artery interventions are increasingly used because of low complication rates and patients' convenience. However, the radial artery is more vulnerable to damage due to its small diameter and frequent anatomical variations. We experienced a case of forearm compartment syndrome after transradial percutaneous coronary artery intervention which has not been reported in Korean literature yet. We report the case with a review of the literature.

Keyword

Radial artery; Compartment syndromes; Percutaneous coronary intervention

MeSH Terms

Compartment Syndromes*
Coronary Vessels*
Forearm*
Percutaneous Coronary Intervention
Radial Artery

Figure

  • Fig. 1 (A) Intraoperative photograph showing widespread bruise and diffuse swelling of right forearm. Severe swelling and bullae formation induced by hematoma formation was seen on proximal 1/3 of the forearm. (B) Intraoperative photograph after division of the deep fascia showing infiltrating intramuscular hematoma of flexor muscles and radial artery perforation with perivascular thrombosis at the bifurcation from the brachial artery (arrow).

  • Fig. 2 Photographs taken postoperative 3 weeks showing full (A) extension and (B) flexion of all fingers.


Reference

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