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

Abstract

UNLABELLED:

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.

• Authors: Payam Dehghani, Jennifer Culig, Darshan Patel, Greg Kraushaar, Paul Schulte
• Journal: Journal of medical case reports (J Med Case Rep) Vol. 7 Pg. 21 (Jan 14 2013) ISSN: 1752-1947 [Print] England
• PMID: 23316970 (Publication Type: Journal Article)