Abstract
The radial approach become the route of choice for coronary angiography because it is associated with less bleeding, early post-procedure mobilization of patient, and easily tolerated by patients. Because of hand’s dual arterial supply and extensive collateral circulation, the risk of serious injury after catheterization through radial approach is essentially decreased to zero. However, minimal amount of bleeding in the anterior compartment can lead to compartment syndrome and may lead to permanent neurovascular injury. The purpose of this case report is to describe our experience with an unusual case of late-onset acute compartment syndrome following trans-radial coronary angiography, and to summarize the available literature on this topic.
Learning objective:
- The radial approach has become the gold-standard for cardiac catheterization. However, in very rare cases, this approach may be associated with bleeding and acute compartment syndrome.
Patients on anti-coagulant drugs, and those who have severe atherosclerotic disease are at increased risk of this complication. The diagnosis mostly depends on clinician awareness and vigilance as these patients may require early decompressive fasciotomy to prevent permanent neurovascular injury.