North Florida Regional Medical Center, University of Central Florida, Gainesville, Florida.
Department of Cardiology, Tergooi Blaricum, The Netherlands.
Catheter Cardiovasc Interv. 2021 Feb 1;97(2):278-281. doi: 10.1002/ccd.28772. Epub 2020 Feb 7.
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.
由于桡动脉背侧或远侧入路具有一些优势，包括良好的人体工程学、快速止血的潜力和较低的血管并发症发生率，这种入路方式最近变得越来越受欢迎。然而，没有任何血管入路是没有并发症的，文献中也有报道与远侧桡动脉入路相关的血肿和假性动脉瘤形成的病例。我们报告了 1 例 71 岁男性，他在反复穿刺左侧桡动脉后，形成了一条涉及远侧桡动脉的动静脉瘘。这种罕见的并发症是可以避免的，需要全面了解周围解剖结构和正确的手术技术，包括常规使用超声进行入路。
