scholarly journals Compartment Syndrome of the Hand: A Rare Sequela of Transradial Cardiac Catheterization

2017 ◽  
Vol 44 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Jennifer Jue ◽  
Joseph A. Karam ◽  
Alfonso Mejia ◽  
Adhir Shroff
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Compartment Syndrome ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Coronary Intervention ◽  
Postoperative Course ◽  
Right Hand ◽  
Percutaneous Coronary

A 64-year-old man who underwent percutaneous coronary intervention via right radial artery access reported right-hand pain and swelling 2 hours after the procedure. He had developed compartment syndrome of the hand, specifically with muscular compromise of the thenar compartment but with no involvement of the forearm. He underwent emergency right-hand compartment release and carpal tunnel release, followed by an uneventful postoperative course. In addition to our patient's case, we discuss compartment syndrome of the hand and related issues.

scholarly journals Anxiety score as a predictor of radial artery spasm during transradial approach for percutaneous coronary intervention

2018 ◽  
Vol 70 ◽  
pp. S71
Author(s):  
Krishnarpan Chatterjee ◽  
Naveen Garg ◽  
Umamaheshwar K. L ◽  
Roopali Khanna ◽  
Aditya Kapoor ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Anxiety Score ◽  
Transradial Approach ◽  
Percutaneous Coronary

scholarly journals Radial artery access for coronary angiography and percutaneous coronary intervention

BMJ ◽  
2004 ◽  
Vol 329 (7463) ◽  
pp. 443-446 ◽  
Author(s):  
R Andrew Archbold ◽  
Nicholas M Robinson ◽  
Richard J Schilling
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Angiography ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Predictive Factors for Access-Site Pain Chronicity after Percutaneous Coronary Intervention via Radial Artery Access

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Liuda Brogiene ◽  
Giedre Baksyte ◽  
Agne Klimaite ◽  
Martynas Paliokas ◽  
Andrius Macas
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Pain Intensity ◽  
Radial Artery ◽  
Predictive Factors ◽  
Coronary Intervention ◽  
Access Site ◽  
Access Methods ◽  
Percutaneous Coronary ◽  
Pain Prevalence ◽  
Strong Opioids

Objectives. The aim of this study is to assess the prevalence and predictive factors for developing chronic access-site (A-S) pain after percutaneous coronary intervention (PCI) via radial artery access. Methods. Data of selected patients (n = 161) who underwent elective PCI were collected prospectively and analysed in 2020. Verbal analogue scale was used to evaluate pain intensity after 12, 24, and 48 h and 3 months after PCI. The univariate logistic regression analysis was used. Results. Pain prevalence decreased from 29% straight after PCI and 54% two hours later to 3.7% following 3 months after procedure. The predictors for A-S pain chronicity are diabetes (OR = 5.77 95% CI (1.07–31.08), p = 0.041 ), hematoma (OR = 6.48, 95% CI (1.06–39.66), p = 0.043 ), A-S hand neuropathy (OR = 19.93 95% CI (1.27–312.32), p = 0.033 ), A-S pain immediately after PCI (OR = 14.60 95% CI (1.63–130.27), p = 0.016 ), after 12 h (OR = 17.2 95% CI (1.60–185.27), p = 0.019 ), 24 h (OR = 48 95% CI (4.87–487), p = 0.01 ), and 48 h (OR = 23.46 95% CI (3.81–144.17), p = 0.001 ), and pain intensity immediately after procedure (OR = 3.30 95% CI (1.65–6.60), p = 0.001 ), after 2 h (OR = 2.56 95% CI (1.15–5.73), p = 0.022 ), after 12 h (OR = 3.02 95% CI (1.70–5.39), p < 0.001 ), after 24 h (OR = 3.58 95% CI (1.90–6.74), p < 0.001 ), and after 48 h (OR = 2.89 95% CI (1.72–4.87), p < 0.001 ). Pain control was performed with Ketoprofen and Ibuprofen as most used NSAIDs. 10 mg of Morphine intravenously was the choice from strong opioids if necessary. Conclusions. The prevalence of chronic A-S pain is 3.7%. Main predictive factors for the A-S pain chronicity are diabetes, hematoma, and persistent pain and pain intensity during 48 h period after PCI.

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