ArticleJournal of neurosurgery. Case lessons2023
Compartment syndrome associated with vascular avulsion caused by transradial access in neurointervention for unruptured intracranial aneurysm: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Transradial approach in patients with brachial artery fibromuscular dysplasia: implications of lesion morphology for access route selection.Neuroradiology · 2026Article
- Smaller diameter sheaths are required to safely perform transradial neurointerventions.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Article
- Novel Small-Bore Preshaped Guiding Sheath for Transradial Anterior Circulation Interventions: A New Device and Technique.Neurosurgery practice · 2025Article
- Risk factors for radial artery occlusion after neurointervention for unruptured intracranial aneurysm via transradial access.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Catheter tensile test: An in vitro evaluation for transradial access.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Safety and efficacy of transradial versus transfemoral access in coil embolization of unruptured intracranial aneurysms: One-Year outcomes from a multicenter propensity Score-Matched cohort.Neurosurgical review · 2025Observational
- Preliminary Experience With Novel Straight 3-Fr Guiding Sheath for Transradial Access in Endovascular Treatment: Feasibility and Safety.Operative neurosurgery (Hagerstown, Md.) · 2025Article
- Acute Forearm Compartment Syndrome Following Transradial Coronary Angiography: A Case Report.Clinical medicine insights. Case reports · 2025Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransradial access (TRA) has a lower risk of access-site complications than transfemoral access but can cause major puncture-site complications, including acute compartment syndrome (ACS). OBSERVATIONS: The authors report a case of ACS associated with radial artery avulsion after coil embolization via TRA for an unruptured intracranial aneurysm. An 83-year-old woman underwent embolization via TRA for an unruptured basilar tip aneurysm. Following embolization, strong resistance was felt during removal of the guiding sheath due to vasospasm of the radial artery. One hour after neurointervention via TRA, the patient complained of severe pain in the right forearm, with motor and sensory disturbance of the first 3 fingers. The patient was diagnosed with ACS causing diffuse swelling and tenderness over the entire right forearm due to elevated intracompartmental pressure. The patient was successfully treated by decompressive fasciotomy of the forearm and carpal tunnel release for neurolysis of the median nerve. LESSONS: TRA operators should be aware that radial artery spasm and the brachioradial artery pose a risk of vascular avulsion and resultant ACS and warrant precautionary measures. Prompt diagnosis and treatment are essential because ACS can be treated without the sequelae of motor or sensory disturbance if properly addressed.
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