Anesthesia & Clinical Research
Open Access

Abstract

Complex Regional Pain Syndrome Type 2 after Percutaneous Coronary Intervention: A Case Report

Aiste Urbonaite*, Liuda Brogiene, Andrius Macas and Gintare Zemgulyte

Chronic regional pain syndrome (CRPS) is a rare condition following percutaneous coronary intervention (PCI) via trans-radial (TR) approach. The pathophysiology of CRPS is still poorly understood, and it is often misdiagnosed and poorly treated in its initial phases leading to severely compromised quality of life. Here we present a rare case of a patient, who was diagnosed with CRPS type 2 after PCI via TR approach. CRPS presented with a classical triad of sensory, autonomic and motor dysfunction and signs of nerve lesion on electromyography (EMG). Patient received multimodal treatment with ketamine in addition which resulted in favorable outcome in less than six months. Ketamine is a promising agent in CRPS treatment, but more studies are needed.

Published Date: 2020-04-17; Received Date: 2020-03-25