Distal arteriovenous fistula formation after percutaneous coronary intervention: An old complication of a new access site.

Autor: Shah SR; North Florida Regional Medical Center, University of Central Florida, Gainesville, Florida., Kiemeneij F; Department of Cardiology, Tergooi Blaricum, The Netherlands., Khuddus MA; North Florida Regional Medical Center, University of Central Florida, Gainesville, Florida.; The Cardiac and Vascular Institute, Gainesville, Florida.
Jazyk: angličtina
Zdroj: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2021 Feb 01; Vol. 97 (2), pp. 278-281. Date of Electronic Publication: 2020 Feb 07.
DOI: 10.1002/ccd.28772
Abstrakt: Dorsal or distal transradial artery access has recently gained popularity due to several perceived benefits that include favorable ergonomics, the potential for rapid hemostasis and lower rates of vascular complications. Still, no vascular access site is free of complications and reports of hematoma and pseudoaneurysm formation related to distal radial artery access have been reported in the literature. We present a case of a 71-year-old male who developed an arteriovenous fistula (AVF) involving the distal left radial artery following repeated access of the artery. This rare complication is likely avoidable with a comprehensive understanding of the surrounding anatomy and proper procedural technique, including the routine use of ultrasound for access.
(© 2020 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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