Ranajit Beeranna Naik Assistant Professor, Department of Cardiovascular and Thoracic Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka 590010, India
Ananya Pandey Post Graduate Resident, Narayana Multispeciality Hospital, Jaipur, Rajasthan 302033, India
Address for correspondence: Ranajit Beeranna Naik, Assistant Professor, Department of Cardiovascular and Thoracic Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka 590010, India E-mail: drranajitbn@gmail.com
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Ranajit Beeranna Naik, Ananya Pandey, Ankit Mathur. Iatrogenic Right Radial Arteriovenous Fistula Post Percutaneous Coronary Intervention. J Cardiovasc Med Surg.2024;10(1-2):35-37.
Timeline
Received : May 07, 2024
Accepted : June 26, 2024
Published : June 30, 2024
Abstract
Background: Percutaneous Coronary intervention are increasing by transradial access due to decreased access site complications. However iatrogenic radial arteriovenous fistula can occur rarely and need attention. Case summary: We describe the case of 51 year old female with swelling near the right wrist joint 3 months after percutaneous coronary intervention to Obtuse marginal. On examination, thrill was noted at the site of transradial access. Ultrasound Doppler confirmed the presence of the radial arteriovenous fistula which was surgically taken down. Following repair no thrill was noted Discussion: Though radial arteriovenous fistula are rare and benign in nature, potential hazards of high output state and distal limb loss cannot be ruled out completely. They are generally managed by surgical ligation though conservative and percutaneous approaches are mentioned in the literature.
References
1. Plehn G, Örnek A, Gkiouras G et al. Transradial versus transfemoral approach in coronary angiography: a matched pair analysis of cath lab equipment costs. J. Vasc. Access. 16, 413-417 (2015).
2. Tatli E, Buturak A, Cakar A et al. Unusual Vascular Complications Associated with Transradial Coronary Procedures Among 10,324 Patients: Case Based Experience and Treatment Options.J. Interv. Cardiol.28, 305-312 (2015).
3. La Perna L, Olin JW, Goines D et al. Ultrasoundguided thrombin injection for the treatment of postcatheterization pseudoaneurysms. Circulation. 102, 2391-2395 (2000).
4. Sugahara T, Azuma M, Nakashima K et al. Postcatheterization radial arteriovenous fistula: balloon-assisted direct percutaneous embolization with N-butyl cyanoacrylate and 50 % glucose solution in two sessions. Jpn. J. Radiol. 31, 505-10 (2013).
5. Yang JH, Gwon HC, Park JE, Song YB (2012) Arteriovenous fistula of the wrist after transradial coronary intervention. Heart Lung 41(2): 203-206.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Ranajit Beeranna Naik, Ananya Pandey, Ankit Mathur. Iatrogenic Right Radial Arteriovenous Fistula Post Percutaneous Coronary Intervention. J Cardiovasc Med Surg.2024;10(1-2):35-37.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.