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Journal of Medical Case Reports

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Open Access 01-12-2013 | Case report

Arteriovenous fistula as a complication of transradial coronary angiography: a case report

Authors: Payam Dehghani, Jennifer Culig, Darshan Patel, Greg Kraushaar, Paul Schulte

Published in: Journal of Medical Case Reports | Issue 1/2013

Abstract

Introduction

Iatrogenic arteriovenous fistula is a vascular condition that may result from coronary angiography. Many case reports have described arteriovenous fistula occurrence after coronary angiography using the transfemoral access route, but rarely as a complication of using the transradial approach. We report a rare case of a patient with arteriovenous fistula following transradial artery coronary angiography.

Case presentation

A 62-year-old Caucasian man underwent emergent coronary angiography using the right radial artery approach. One month after angiography, he discovered a turbulent sound near the access site. A right radial arteriovenous fistula was found upon duplex ultrasound investigation. The patient was treated conservatively. At 1-year follow-up, the arteriovenous fistula was unchanged and the patient remained hemodynamically stable and asymptomatic.

Conclusion

Iatrogenic arteriovenous fistula is a rare vascular complication of transradial artery coronary angiography. The natural history of arteriovenous fistula is benign and is thought to resolve spontaneously; therefore, a conservative approach, as opposed to surgical ligation, is recommended as the first-line treatment.

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Title: Arteriovenous fistula as a complication of transradial coronary angiography: a case report
Authors: Payam Dehghani
Jennifer Culig
Darshan Patel
Greg Kraushaar
Paul Schulte
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2013
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-7-21

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Arteriovenous fistula as a complication of transradial coronary angiography: a case report

Abstract

Introduction

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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