Complex regional pain syndrome: A rare but potentially disabling complication of transradial cardiac catheterization

Wiper, Andrew; Amoroso, Giovanni; Rao, Sunil; Nolan, James

Abstract

Background
Chronic Regional Pain Syndrome (CRPS) is a rare complication following transradial cardiac catheterization.

Aims
To discuss the clinical features, pathophysiology, diagnosis and management of CRPS.

Methods
Literature review performed.

Results
CRPS is seen rarely in the literature following upper limb arterial access for coronary procedures, which may be due to a low incidence of the syndrome as well as limited recognition and underreporting.

Discussion
The diagnosis and management of CRPS are discussed in detail.

Conclusion
If CRPS is a potential diagnosis then prompt early referral to a center with a specialist interest in CRPS is recommended. Prompt diagnosis and early commencement on the correct patient treatment pathway are essential, to avoid potentially life changing disability and the psychological consequences of living with intractable chronic undiagnosed pain.

Citation

Wiper, A., Amoroso, G., Rao, S., & Nolan, J. (2020). Complex regional pain syndrome: A rare but potentially disabling complication of transradial cardiac catheterization. Catheterization and Cardiovascular Interventions, 95(5), https://doi.org/10.1002/ccd.28357

• Journal Article Type: Article
• Acceptance Date: May 16, 2019
• Online Publication Date: May 30, 2019
• Publication Date: 2020-04
• Deposit Date: Jun 21, 2023
• Journal: Catheterization and Cardiovascular Interventions
• Print ISSN: 1522-1946
• Electronic ISSN: 1522-726X
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 95
• Issue: 5
• DOI: https://doi.org/10.1002/ccd.28357
• Keywords: Cardiology and Cardiovascular Medicine; Radiology, Nuclear Medicine and imaging; General Medicine
• Additional Information: Received: 2019-02-27; Accepted: 2019-05-16; Published: 2019-05-30