Gergoudis Maria, Raizman Noah
The Centers for Advanced Orthopaedics, Washington, DC.
J Hand Surg Glob Online. 2022 May 5;4(4):230-232. doi: 10.1016/j.jhsg.2022.03.002. eCollection 2022 Jul.
Acute compartment syndrome is a rare complication of radial artery catheterization. If not identified and treated emergently, it can lead to profound disability or limb loss. Here, we discuss a rare case of acute compartment syndrome in the forearm of a 54-year-old man after transradial catheterization and anticoagulation for myocardial infarction, which ultimately required emergent fasciotomies and prolonged hospital care. The benefits of a percutaneous intervention performed through radial artery catheterization will almost always outweigh the risks of the catheterization itself; however, the serious complication of forearm hematoma leading to acute compartment syndrome should be discussed with patients as a potential procedural risk. The signs and symptoms of acute compartment syndrome should be reviewed by perioperative staff and physicians to rapidly identify the evolving condition and initiate appropriate treatment. This case report follows CARE guidelines.
急性骨筋膜室综合征是桡动脉置管术的一种罕见并发症。若未及时识别并紧急处理，可导致严重残疾或肢体丧失。在此，我们讨论一例54岁男性在经桡动脉置管并抗凝治疗心肌梗死后发生在前臂的急性骨筋膜室综合征罕见病例，该病例最终需要紧急行筋膜切开术并延长住院治疗时间。经桡动脉置管进行经皮介入治疗的益处几乎总是大于置管本身的风险；然而，应将导致急性骨筋膜室综合征的前臂血肿这一严重并发症作为一种潜在的操作风险告知患者。围手术期工作人员和医生应熟悉急性骨筋膜室综合征的体征和症状，以便快速识别病情进展并启动适当治疗。本病例报告遵循CARE指南。
