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经桡动脉冠状动脉介入术后发生桡动脉动静脉瘘的罕见病例。

A Rare Case of Radial Arteriovenous Fistula (AVF) Post-Transradial Percutaneous Coronary Intervention.

作者信息

Mahanta Dibyasundar, Malla Sindhu Rao, Mohanan Saran P, Deb Pranjit, Das Debasish

机构信息

Cardiology, SUM Hospital, Bhubaneswar, IND.

Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

出版信息

Cureus. 2024 Feb 26;16(2):e54943. doi: 10.7759/cureus.54943. eCollection 2024 Feb.

DOI:10.7759/cureus.54943
PMID:38544609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10967670/
Abstract

We report a rare case of radial arteriovenous fistula in a middle-aged person after a successful transradial percutaneous coronary intervention. Early release of manual radial compression was the culprit behind the development of radial arteriovenous fistula. Early surgical repair of the radial arteriovenous fistula resulted in the complete resolution of distal forearm symptoms in the abovementioned patient. It is advised for young interventional cardiologists to apply a compressive bandage over the radial artery for a minimum period of one hour to get rid of this extremely rare complication.

摘要

我们报告了一例中年患者在经桡动脉成功进行经皮冠状动脉介入治疗后发生桡动静脉瘘的罕见病例。过早解除手动桡动脉压迫是桡动静脉瘘形成的原因。对该桡动静脉瘘进行早期手术修复后,上述患者前臂远端症状完全缓解。建议年轻的介入心脏病学家对桡动脉应用压迫绷带至少一小时,以避免这种极其罕见的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2e/10967670/9953fc36f0cb/cureus-0016-00000054943-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2e/10967670/af3c8ef20acb/cureus-0016-00000054943-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2e/10967670/9953fc36f0cb/cureus-0016-00000054943-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2e/10967670/af3c8ef20acb/cureus-0016-00000054943-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2e/10967670/9953fc36f0cb/cureus-0016-00000054943-i02.jpg

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引用本文的文献

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Cureus. 2025 Feb 24;17(2):e79541. doi: 10.7759/cureus.79541. eCollection 2025 Feb.
2
Radial Arteriovenous Fistula Formation After Transradial Cardiac Catheterization.经桡动脉心脏导管插入术后桡动脉动静脉瘘形成
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本文引用的文献

1
Vascular anomalies: A pictorial review of nomenclature, diagnosis and treatment.血管异常:命名、诊断与治疗的图谱综述
World J Radiol. 2014 Sep 28;6(9):677-92. doi: 10.4329/wjr.v6.i9.677.
2
Successful percutaneous treatment of an arteriovenous fistula after radial primary percutaneous coronary intervention.桡动脉直接经皮冠状动脉介入术后动静脉瘘的成功经皮治疗。
JACC Cardiovasc Interv. 2014 Sep;7(9):e123-4. doi: 10.1016/j.jcin.2014.01.174.
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Postcatheterization radial arteriovenous fistula: balloon-assisted direct percutaneous embolization with N-butyl cyanoacrylate and 50 % glucose solution in two sessions.
经导管桡动脉动静脉瘘:两期法应用 N-丁基氰基丙烯酸酯和 50%葡萄糖溶液行球囊辅助直接经皮栓塞术。
Jpn J Radiol. 2013 Jul;31(7):505-10. doi: 10.1007/s11604-013-0206-8. Epub 2013 Apr 23.
4
Access-site complications and their management during transradial cardiac catheterization.经桡动脉心脏导管插入术期间的穿刺部位并发症及其处理
Expert Rev Cardiovasc Ther. 2012 May;10(5):627-34. doi: 10.1586/erc.12.16.
5
Percutaneous antegrade transarterial treatment of iatrogenic radial arteriovenous fistula.经皮顺行桡动脉内瘘术治疗医源性桡动静脉瘘。
J Cardiovasc Med (Hagerstown). 2012 Jan;13(1):50-2. doi: 10.2459/JCM.0b013e3283461126.