{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T09:33:45Z","timestamp":1780047225037,"version":"3.53.1"},"reference-count":24,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,12,14]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2020-237339","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T14:54:30Z","timestamp":1612882470000},"page":"e237339","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Transulnar coronary intervention complicated by compartment syndrome"],"prefix":"10.1136","volume":"14","author":[{"given":"Matthijs W L","family":"Smits","sequence":"first","affiliation":[{"name":"Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene J","family":"van der Schaaf","sequence":"additional","affiliation":[{"name":"Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Paul","family":"Herrman","sequence":"additional","affiliation":[{"name":"Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remko S","family":"Kuipers","sequence":"additional","affiliation":[{"name":"Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"2025082712520405000_14.2.e237339.1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20313"},{"key":"2025082712520405000_14.2.e237339.2","article-title":"Transradial versus Transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease","volume":"4","author":"Kolkailah","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"2025082712520405000_14.2.e237339.3","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.3760\/cma.j.issn.0366-6999.20132095","article-title":"Safety and feasibility of transulnar versus transradial artery approach for coronary catheterization in non-selective patients","volume":"127","author":"Geng","year":"2014","journal-title":"Chin Med J"},{"key":"2025082712520405000_14.2.e237339.4","first-page":"1273","article-title":"Safety and efficacy of ulnar artery approach for percutaneous cardiac catheterization: systematic review and meta-analysis","volume":"91","author":"Fernandez","year":"2018","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025082712520405000_14.2.e237339.5","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22978"},{"key":"2025082712520405000_14.2.e237339.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.112.000150"},{"key":"2025082712520405000_14.2.e237339.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2008.00361.x"},{"key":"2025082712520405000_14.2.e237339.8","first-page":"312","article-title":"Percutaneous transulnar artery approach for diagnostic and therapeutic coronary intervention","volume":"17","author":"Aptecar","year":"2005","journal-title":"J Invasive Cardiol"},{"key":"2025082712520405000_14.2.e237339.9","first-page":"E51","article-title":"Safety and feasibility of transulnar catheterization when ipsilateral radial access is not available","volume":"83","author":"Kedev","year":"2014","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025082712520405000_14.2.e237339.10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-206763","article-title":"Compartment syndrome resulting from undetected ulnar artery injury in the absence of a forearm fracture","volume":"2014","author":"Chadha","year":"2014","journal-title":"BMJ Case Rep"},{"key":"2025082712520405000_14.2.e237339.11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.36876\/smmd.1017","article-title":"Acute compartment syndrome of the forearm following ulnar artery puncture in a patient stuck by branch","volume":"2","author":"Liang","year":"2017","journal-title":"SM Musculoskelet Disord"},{"key":"2025082712520405000_14.2.e237339.12","first-page":"183","article-title":"Acute compartment syndrome: a rare but important complication of transradial cardiac catheterization","volume":"16","author":"O'Donohoe","year":"2017","journal-title":"J Cardiol Cases"},{"key":"2025082712520405000_14.2.e237339.13","doi-asserted-by":"publisher","DOI":"10.1177\/0003319715592095"},{"key":"2025082712520405000_14.2.e237339.14","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1007\/s12471-015-0747-9","article-title":"Revealing the impact of local access-site complications and upper extremity dysfunction post transradial percutaneous coronary procedures","volume":"23","author":"Zwaan","year":"2015","journal-title":"Neth Heart J"},{"key":"2025082712520405000_14.2.e237339.15","doi-asserted-by":"crossref","DOI":"10.1016\/j.jacc.2018.08.1978","article-title":"TCT-753 incidence of compartment syndrome after cardiac catheterization via transradial approach","volume":"72","author":"Bode","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2025082712520405000_14.2.e237339.16","doi-asserted-by":"crossref","first-page":"655.e1","DOI":"10.1016\/j.jhsa.2019.11.007","article-title":"Acute upper-limb complications following radial artery catheterization for coronary angiography","volume":"45","author":"Harvey","year":"2020","journal-title":"J Hand Surg Am"},{"key":"2025082712520405000_14.2.e237339.17","first-page":"268","article-title":"Safety and feasibility of transulnar cardiac catheterization","volume":"35","author":"Knebel","year":"2008","journal-title":"Tex Heart Inst J"},{"key":"2025082712520405000_14.2.e237339.18","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20679"},{"key":"2025082712520405000_14.2.e237339.19","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/S0003-4975(02)04557-5","article-title":"The radial artery is larger than the ulnar","volume":"75","author":"Riekkinen","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2025082712520405000_14.2.e237339.20","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1177\/1753193419899007","article-title":"Acute compartment syndrome of the forearm associated with transradial coronary intervention","volume":"45","author":"Lee","year":"2020","journal-title":"J Hand Surg Eur Vol"},{"key":"2025082712520405000_14.2.e237339.21","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1007\/s00264-018-4060-2","article-title":"Acute compartment syndrome in patients undergoing fasciotomy of the forearm and the leg","volume":"43","author":"Zhang","year":"2019","journal-title":"Int Orthop"},{"key":"2025082712520405000_14.2.e237339.22","unstructured":"Mowakeaa BYS , Dieter RS . Compartment syndrome after radial artery catheterization, 2017: 44\u20136."},{"key":"2025082712520405000_14.2.e237339.23","doi-asserted-by":"crossref","first-page":"e121","DOI":"10.3928\/01477447-20121217-31","article-title":"Compartment syndrome of the arm caused by transcatheter angiography or angioplasty","volume":"36","author":"Omori","year":"2013","journal-title":"Orthopedics"},{"key":"2025082712520405000_14.2.e237339.24","doi-asserted-by":"crossref","first-page":"065","DOI":"10.1055\/s-0036-1585057","article-title":"Neurovascular complications of the upper extremity following cardiovascular procedures","volume":"8","author":"Beutel","year":"2016","journal-title":"J Hand Microsurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:52:23Z","timestamp":1756324343000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":24,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2,9]]},"published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1136\/bcr-2020-237339"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237339","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2]]}}}