Key result
Emergency fasciotomy restores forearm function and perfusion after transradial PCI-related compartment syndrome in STEMI cases.
Why the study?
Although the trans-radial approach in STEMI patients reduces bleeding complications compared to the trans-femoral approach, rare complications such as forearm hematoma and acute compartment syndrome may develop and require a prompt surgical procedure.
Case Report (n=2)
No
Answers are grounded in this paper and cite their sources.
Supports emergency fasciotomy for rare post-transradial compartment syndrome; leaves open incidence, prevention, and prospective management data.
The trans-radial approach (TRA) is shown to be superior in reducing bleeding complications and associated with lower mortality with a similar procedural success rate in ST-Elevated Myocardial Infarction (STEMI) patients compared to the trans-femoral approach. Nevertheless, complications such as forearm hematoma and, in rare cases, acute compartment syndrome (ACS) may develop, thus requiring a prompt surgical procedure. Here, we present two successful emergency fasciotomy cases as ACS treatment following primary percutaneous coronary intervention after STEMI. Both patients show normal neurological and muscular function and normal artery flow on both hands afterward.
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Asanti et al. (2023) conducted a case report in Forearm acute compartment syndrome following transradial primary percutaneous coronary intervention for STEMI (n=2). Emergency fasciotomy was evaluated on Neurological and muscular function recovery and normal arterial flow. Emergency fasciotomy successfully treated forearm acute compartment syndrome after transradial primary PCI in 2 of 2 STEMI patients, restoring normal neuromuscular function and arterial flow.
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