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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.

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/af3c8ef20acb/cureus-0016-00000054943-i01.jpg

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