Forearm Compartment Syndrome after Transradial Percutaneous Coronary Artery Intervention

Ho-Youn Park; Yoon-Vin Kim; Joo-Young Kim; Yoo-Joon Sur

doi:10.12790/jkssh.2017.22.2.112

Journal List > J Korean Soc Surg Hand > v.22(2) > 1106558

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Park, Kim, Kim, and Sur: Forearm Compartment Syndrome after Transradial Percutaneous Coronary Artery Intervention

Case Report

Journal of the Korean Society for Surgery of the Hand 2017; 22(2): 112-116.

Published online: 22 June 2017

DOI: https://doi.org/10.12790/jkssh.2017.22.2.112

Forearm Compartment Syndrome after Transradial Percutaneous Coronary Artery Intervention

Ho-Youn Park, Yoon-Vin Kim, Joo-Young Kim, Yoo-Joon Sur

Department of Orthopedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Correspondence to: Yoo-Joon Sur. Department of Orthopedic Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu 11765, Korea. TEL: +82-31-820-3066, FAX: +82-31-847-3671, yoojoon@catholic.ac.kr

Received 24 December 2016 Revised 6 February 2017 Accepted 13 February 2017

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Radial artery, Compartment syndromes, Percutaneous coronary intervention

Figures and Tables

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.

Notes

^{CONFLICT OF INTEREST} No potential conflict of interest relevant to this article was reported.

References

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