Key result
Emergency fasciotomy successfully treated acute compartment syndrome of the forearm following transradial percutaneous coronary intervention, resulting in a satisfactory DASH score of 65 at 4 months.
Case Report (n=1)
Acute compartment syndrome is a rare but limb-threatening complication of transradial PCI that requires prompt recognition and emergency fasciotomy to preserve hand function.
Raises awareness for delayed compartment syndrome after transradial PCI; single case leaves open incidence, risks, and prevention.
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.
No takes yet. Share an insight, caveat, or question.
Irsan et al. (2023) conducted a case report in Acute compartment syndrome of the forearm after transradial percutaneous coronary intervention (n=1). Emergency fasciotomy was evaluated on Clinical recovery and Disability of Arm-Shoulder-Hand (DASH) score. Emergency fasciotomy successfully treated acute compartment syndrome of the forearm following transradial percutaneous coronary intervention, resulting in a satisfactory DASH score of 65 at 4 months.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: