Iatrogenic forearm compartment syndrome in a cardiac intensive care unit induced by brachial artery puncture and acute anticoagulation.
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.
Shabat
Shay
S
Department of Orthopedic Surgery, Unit of Hand Surgery, Sapir Medical Center, 48 Tchernichovsky St., 44281 Kfar Sava, Israel. drshabat@hotmail.com
Carmel
Avi
A
Cohen
Yael
Y
Sagiv
Paul
P
Barchilon
Vidal
V
Stren
Avi
A
Nyska
Meir
M
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
D000925:Anticoagulants