Document Detail


Iatrogenic forearm compartment syndrome in a cardiac intensive care unit induced by brachial artery puncture and acute anticoagulation.
MedLine Citation:
PMID:  12063804     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Shay Shabat; Avi Carmel; Yael Cohen; Paul Sagiv; Vidal Barchilon; Avi Stren; Meir Nyska
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  15     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-06-14     Completed Date:  2002-07-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  107-9     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Unit of Hand Surgery, Sapir Medical Center, 48 Tchernichovsky St., 44281 Kfar Sava, Israel. drshabat@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Anticoagulants / therapeutic use
Brachial Artery / injuries*,  surgery
Compartment Syndromes / diagnosis,  etiology*,  surgery
Coronary Care Units
Forearm / surgery
Humans
Iatrogenic Disease*
Infusions, Intravenous* / adverse effects
Male
Chemical
Reg. No./Substance:
0/Anticoagulants
Comments/Corrections
Comment In:
J Interv Cardiol. 2002 Oct;15(5):345-8   [PMID:  12440176 ]
J Interv Cardiol. 2002 Oct;15(5):435   [PMID:  12440193 ]

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