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Complex regional pain syndrome: A rare but potentially disabling complication of transradial cardiac catheterization
Author(s) -
Wiper Andrew,
Amoroso Giovanni,
Rao Sunil,
Nolan James
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28357
Subject(s) - medicine , cardiac catheterization , complication , cardiology , complex regional pain syndrome , surgery
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.