Forearm compartment syndrome after a trans-ulnar coronary intervention in a patient with ST segment elevation myocardial infarction

Gaspar Del Rio-Pertuz MD, Brandon Rogers MD, Ankush Lahoti MD, Leigh Ann Jenkins MD

ABSTRACT

Compartment syndrome is a very rare but possibly devastating complication of coronary angiography when a trans-radial approach is used. The trans-ulnar approach is an attractive option in cases with anatomic variations of the radial artery or weak radial pulses. Even though it is expected that the trans-ulnar approach has a similar risk of developing compartment syndrome like trans-radial approach, the literature does not have many case reports describing this complication. Here we report a case of a woman who developed forearm compartment syndrome after trans-ulnar coronary intervention in the setting of ST-segment elevation myocardial infarction.

Keywords: Compartment syndrome, trans-ulnar access, coronary intervention


Article citation: Del Rio-Pertuz G, Rogers B, Lahoti A, Jenkins LA. Forearm compartment syndrome after a trans-ulnar coronary intervention in a patient with ST segment elevation myocardial infarction. The Southwest Respiratory and Critical Care Chronicles 2023;11(47):52–54
From: Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas
Submitted: 1/20/2023
Accepted: 3/22/2023
Conflicts of interest: none
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