Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-gu, Seoul, South Korea.
Heart Lung. 2012 Mar-Apr;41(2):203-6. doi: 10.1016/j.hrtlng.2011.06.006. Epub 2011 Aug 10.
The transradial approach for percutaneous coronary intervention (PCI) is a common route, but is associated with a few local complications. Access site complications, such as hematoma, radial artery spasm, and a reduced radial pulse, are reported frequently. However, an arteriovenous fistula (AVF) in the wrist related to the procedure is extremely rare. We encountered an AVF of the wrist after a transradial coronary intervention (TRI). The patient complained of a thrill detected in his right wrist, 2 months after TRI. Color Doppler ultrasonography demonstrated an AVF with a high turbulent velocity at the site of communication that required surgical revision. This appears to be a very unusual complication related to the transradial approach for PCI.
经皮冠状动脉介入治疗（PCI）的桡动脉入路是一种常见的途径，但与一些局部并发症相关。经常报道的入路部位并发症包括血肿、桡动脉痉挛和桡动脉搏动减弱。然而，与该操作相关的腕部动静脉瘘（AVF）极其罕见。我们在经桡动脉冠状动脉介入治疗（TRI）后遇到了一例腕部 AVF。患者在 TRI 后 2 个月时主诉在其右手腕处可触及震颤。彩色多普勒超声显示吻合部位存在一处 AVF，伴高速湍流，需要手术修复。这似乎是一种与 PCI 的桡动脉入路相关的非常罕见的并发症。
