Percutaneous antegrade transarterial treatment of iatrogenic radial arteriovenous fistula

J Cardiovasc Med (Hagerstown). 2012 Jan;13(1):50-2. doi: 10.2459/JCM.0b013e3283461126.

Abstract

Site of access vascular complications is infrequent after transradial interventions. We report the case of a 66-year-old man referred to our hospital because of right forearm swelling, oedema and pain with functional forearm disability, 1 year after a transradial primary percutaneous coronary intervention (PCI). The diagnostic and procedural issues are discussed. This is the first description of a successful and well-tolerated radial arteriovenous fistula (AVF) treatment by means of percutaneous antegrade approach with the use of a short introducer and a biocompatible covered stent.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Arteriovenous Fistula / diagnosis
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / physiopathology
  • Arteriovenous Fistula / therapy*
  • Collateral Circulation
  • Edema / etiology
  • Endovascular Procedures* / instrumentation
  • Humans
  • Iatrogenic Disease*
  • Male
  • Pain / etiology
  • Radial Artery / diagnostic imaging
  • Radial Artery / injuries*
  • Radial Artery / physiopathology
  • Radiography
  • Regional Blood Flow
  • Stents
  • Treatment Outcome
  • Ultrasonography, Doppler, Color
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / etiology
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / therapy*