Hashimoto Sho, Shiraishi Jun, Kimura Masayoshi, Nishikawa Marie, Yanagiuchi Takashi, Ito Daisuke, Kishita Eigo, Yokoi Hirokazu, Hyogo Masayuki, Shima Takatomo, Sawada Takahisa, Kohno Yoshio
Department of Cardiology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Japan.
J Cardiol Cases. 2015 Sep 26;12(6):192-194. doi: 10.1016/j.jccase.2015.08.007. eCollection 2015 Dec.
Arteriovenous fistula (AVF) after trans-radial catheterization is an extremely rare complication. A 61-year-old man experienced a painful swelling in the left radial punctured site. The findings of vascular ultrasound and angiography led to a diagnosis of an iatrogenic radial AVF. We performed continuous compression using a hemostatic band for 24 h after which the radial AVF completely disappeared without vessel occlusion, and no relapse occurred. Eight cases of catheterization-induced radial AVF have been mentioned in the literature, but the treatment has not been noninvasive in any case. This is the first report of an iatrogenic radial AVF that was noninvasively repaired using continuous low-pressure compression with a hemostatic band. < Arteriovenous fistula (AVF) after trans-radial catheterization is a rare complication. The literature reports only 8 cases of catheterization-induced radial AVF and no patient has been cured noninvasively. This is the first report of an iatrogenic radial AVF that was repaired noninvasively. We believe that continuous low-pressure compression using a hemostatic band is an effective therapeutic option for this complication.>.
经桡动脉导管插入术后的动静脉瘘(AVF)是一种极为罕见的并发症。一名61岁男性在左桡动脉穿刺部位出现疼痛性肿胀。血管超声和血管造影检查结果诊断为医源性桡动脉AVF。我们使用止血带进行了24小时的持续压迫,之后桡动脉AVF完全消失,未出现血管闭塞,且未复发。文献中提及了8例导管插入术引起的桡动脉AVF,但在任何情况下治疗都并非无创。这是首例关于医源性桡动脉AVF通过使用止血带进行持续低压压迫而无创修复的报告。<经桡动脉导管插入术后的动静脉瘘(AVF)是一种罕见的并发症。文献仅报道了8例导管插入术引起的桡动脉AVF,且尚无患者通过无创方式治愈。这是首例关于医源性桡动脉AVF无创修复的报告。我们认为,使用止血带进行持续低压压迫是治疗该并发症的一种有效方法。>