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Published on: May 28, 2019
Transulnar coronary intervention complicated by compartment syndrome
Matthijs W L Smits1, Rene J van der Schaaf2, Jean-Paul Herrman2
1Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands m.w.l.smits@olvg.nl.
Compartment syndrome is a rare complication following transulnar coronary intervention. Prompt diagnosis and treatment are crucial to prevent severe patient morbidity.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Transulnar coronary intervention is a common procedure.
- Compartment syndrome is a known but rare complication of invasive vascular procedures.
Observation:
- This report details the first case of compartment syndrome following transulnar coronary intervention.
- The incidence of compartment syndrome after wrist-accessed coronary angiography and intervention was retrospectively analyzed.
Findings:
- The observed incidence was 0.007% for coronary angiographies and 0.013% for interventions via the wrist.
- Compartment syndrome presents a rare but potentially devastating risk after these procedures.
Implications:
- Early recognition and management of compartment syndrome are vital to minimize long-term patient harm.
- Implementing preventative measures may reduce the occurrence of this serious complication.
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