title: Iatrogenic forearm compartment syndrome in a cardiac intensive care unit induced by brachial artery puncture and acute anticoagulation.
abstract: A previously healthy patient developed late compartment syndrome in the cardiac intensive care unit after a brachial artery puncture due to acute heparinization after successful percutaneous transluminal coronary angioplasty (PTCA) and stent implantation. The cardiologists recognized the problem and immediately consulted an orthopedic surgeon, who promptly performed surgery. The latter consisted of decompression and fasciotomy. The patient recovered excellent hand function without any neurologic or muscular deficits. Knowledge and understanding of the clinical aspects of this complication are crucial in this devastating syndrome.
authors.affiliation: Department of Orthopedic Surgery, Unit of Hand Surgery, Sapir Medical Center, 48 Tchernichovsky St., 44281 Kfar Sava, Israel. drshabat@hotmail.com
authors.forename: Shay
authors.initials: S
authors.lastname: Shabat
authors.forename: Avi
authors.initials: A
authors.lastname: Carmel
authors.forename: Yael
authors.initials: Y
authors.lastname: Cohen
authors.forename: Paul
authors.initials: P
authors.lastname: Sagiv
authors.forename: Vidal
authors.initials: V
authors.lastname: Barchilon
authors.forename: Avi
authors.initials: A
authors.lastname: Stren
authors.forename: Meir
authors.initials: M
authors.lastname: Nyska
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001916:Brachial Artery / Q000293:injuries* / Q000601:surgery; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003325:Coronary Care Units; D005542:Forearm / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007262:Infusions, Intravenous / Q000009:adverse effects; D008297:Male
chemical_list: D000925:Anticoagulants