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Transulnar coronary intervention complicated by compartment syndrome
  1. Matthijs W L Smits,
  2. Rene J van der Schaaf,
  3. Jean-Paul Herrman and
  4. Remko S Kuipers
  1. Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands
  1. Correspondence to Matthijs W L Smits; m.w.l.smits{at}


We describe a case of a compartment syndrome after transulnar coronary intervention. As far as we are aware of, this is the first report of such a complication after a transulnar approach described in the literature. Compartment syndrome is a very rare but possibly devastating complication of coronary angiography and percutaneous coronary interventions. We retrospectively observed an incidence rate of 0.007% after 13,948 coronary angiographies or 0.013% after 7532 interventions performed through the wrist in our centre in the last 5 years. Rapid recognition and treatment of this rare complication may prevent long-term morbidity and are thus of utmost importance. General measures should be taken to reduce this incidence of this serious complication.

  • cardiovascular medicine
  • ischaemic heart disease
  • interventional cardiology
  • vascular surgery
  • surgical diagnostic tests

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  • Contributors Selected authors have contributed to the case report in the following way: MWLS, writing and clinical course; RSK, writing and supervising clinical course; RJvdS, clinical course; and J-PH, supervising associate specialist.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.