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经皮顺行桡动脉内瘘术治疗医源性桡动静脉瘘。

Percutaneous antegrade transarterial treatment of iatrogenic radial arteriovenous fistula.

机构信息

Interventional Cardiology Unit, Department of Radiology, Policlinico Casilino, Rome, Italy. f.summaria@gmail

出版信息

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

DOI:10.2459/JCM.0b013e3283461126
PMID:21532499
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.

摘要

经桡动脉介入治疗后,发生血管通路并发症的部位并不常见。我们报告了 1 例 66 岁男性病例,该患者于 1 年前因初次经皮冠状动脉介入治疗(PCI)后出现右前臂肿胀、水肿和疼痛伴前臂功能障碍而被转诊至我院。讨论了诊断和操作问题。这是首例经皮顺行入路、使用短导丝和生物相容性覆膜支架成功且耐受良好的桡动脉动静脉瘘(AVF)治疗的描述。

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