Compartment syndrome after transradial intervention

Lepilin P.M.; Mkrtychev D.S.; Kolegaev A.S.; Atanesyan R.S.

doi:https://doi.org/10.17116/Cardiobulletin20221703174

Lepilin P.M.

Chazov National Research Center of Cardiology

ORCID: 0000-0003-2979-2542

Mkrtychev D.S.

Chazov National Medical Research Center of Cardiology

Kolegaev A.S.

Chazov National Research Center of Cardiology

ORCID: 0000-0002-5054-1310

Atanesyan R.S.

Chazov National Medical Research Center of Cardiology

Compartment syndrome after transradial intervention

Authors:

Lepilin P.M., Mkrtychev D.S., Kolegaev A.S., Atanesyan R.S.

More about the authors

Journal: Russian Cardiology Bulletin. 2022;17(3): 74‑77

DOI: 10.17116/Cardiobulletin20221703174

Read: 12519 times

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To cite this article:

Lepilin PM, Mkrtychev DS, Kolegaev AS, Atanesyan RS. Compartment syndrome after transradial intervention. Russian Cardiology Bulletin. 2022;17(3):74‑77. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20221703174

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Abstract:

Transradial access is one of the most common for both diagnostic and therapeutic procedures on coronary arteries. Incidence of life-threatening complications after radial artery puncture is small. However, one should consider the impact of such complications on further prognosis. Compartment syndrome is an extremely rare complication of transradial access and characterized by increased subfascial pressure due to accumulation of blood in subfascial space. This process leads to microcirculatory disturbances and tissue necrosis. Compartment syndrome depends on many factors, and the main aspect in pathogenesis is active bleeding to subfascial space. Timely surgical intervention is the only treatment method for these patients. In this article, we report a patient with compartment syndrome after percutaneous coronary intervention.

Keywords:

compartment syndrome

percutaneous coronary interventions

circulatory disorders

Authors:

Lepilin P.M.

Chazov National Research Center of Cardiology

ORCID: 0000-0003-2979-2542

Mkrtychev D.S.

Chazov National Medical Research Center of Cardiology

Kolegaev A.S.

Chazov National Research Center of Cardiology

ORCID: 0000-0002-5054-1310

Atanesyan R.S.

Chazov National Medical Research Center of Cardiology

Received:

08.07.2022

Accepted:

29.07.2022

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References:

Agostoni P., Biondi-Zoccai G.G., de Benedictis M.L., et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; systematic overview and meta-analysis of randomized trials. Journal of the American College of Cardiology. 2004;44(2):349-356. https://doi.org/10.1016/j.jacc.2004.04.034
Jones RM, Hill AB, Nahrwold ML, Bolles RE. The effect of method of radial artery cannulation on postcannulation blood flow and thrombus formation. Anesthesiology. 1981;5576-5578.
Frezza EE, Mezghebe H. Indications and complications of arterial catheter use in surgical or medical intensive care units: analysis of 4932 patients. American Journal of Surgery. 1998;64:127-131.
Kim JM, Arakawa K, Bliss J. Arterial cannulation: factors in the development of occlusion. Anesthesia & Analgesia. 1975;54:836-841.
Coccolini F, Malbrain MLNG, Kirkpatrick AW, Gamberini E. Compartment Syndrome. Hot Topics in Acute Care Surgery and Trauma. 2021. https://doi.org/10.1007/978-3-030-55378-4
Tizón-Marcos H, Barbeau GR. Incidence of compartment syndrome of the arm in a large series of transradial approach for coronary procedures. International Journal of Cardiology. 2008;21(5):380-384. https://doi.org/10.1111/j.1540-8183.2008.00361.x
Hope MJ, McQueen MM. Acute compartment syndrome in the absence of fracture. Journal of Orthopaedic Trauma. 2004;18(4):220-224. https://doi.org/10.1097/00005131-200404000-00005
Leversedge FJ, Moore TJ, Peterson BC, Seiler JG 3rd. Compartment syndrome of the upper extremity. Journal of Hand Surgery (American Volume). 2011;36(3):544-559. https://doi.org/10.1016/j.jhsa.2010.12.008
Kistler JM, Ilyas AM, Thoder JJ. Forearm Compartment Syndrome: Evaluation and Management. Hand Clinics. 2018;34(1):53-60. https://doi.org/10.1016/j.hcl.2017.09.006
Schmidt AH. Acute compartment syndrome. Injury. 2017;48(suppl 1):22-25. https://doi.org/10.1016/j.injury.2017.04.024
McQueen MM, Duckworth AD. The diagnosis of acute compartment syndrome: a review. European Journal of Trauma and Emergency Surgery. 2014;40(5):521-528. https://doi.org/10.1007/s00068-014-0414-7
Bulatov AR, Litvinenko IV, Zhivolupov SA, Rashidov NA, Ryzhkova NI. Modern aspects of compartment syndrome. Russian Military Medical Academy Reports. 2020;39(S3-2):29-31. (In Russ.).