Arteriovenous fistula after distal transradial access: A case report and literature review.

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-05-22 DOI:10.1177/11297298251342303

Xinyu Fan, Tao Chen, Feng Li, Ganwei Shi, Ruixiao Song, Gaojun Cai

{"title":"Arteriovenous fistula after distal transradial access: A case report and literature review.","authors":"Xinyu Fan, Tao Chen, Feng Li, Ganwei Shi, Ruixiao Song, Gaojun Cai","doi":"10.1177/11297298251342303","DOIUrl":null,"url":null,"abstract":"Background: Distal transradial access (dTRA) has received extensive attention and has gradually become an alternative access for cardiac interventions. However, with the widespread use of dTRA, access complications such as distal radial artery occlusion (dRAO), haematoma, pseudoaneurysm and arteriovenous fistula (AVF) have been reported. In this study, we report a case of AVF after dTRA and review the related literature.Case report: A 54-year-old female, who underwent percutaneous coronary intervention (PCI) 2 years ago, was admitted to the hospital with discomfort in her thumb. On admission, a mass was found at the puncture site, and ultrasound revealed a fistula between the distal radial artery (DRA) and the cephalic vein (CV). The patient was treated with manual compression for 2 h. Three months later, the mass was smaller than before, the symptoms had resolved and the fistula was found to have closed on repeat ultrasound.Conclusion: Understanding the mechanisms underlying the occurrence of AVF and the principles guiding the treatment of the potential risks associated with AVF after dTRA is important and allows for the effective prevention of AVF and accurate prognostic prediction.","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298251342303"},"PeriodicalIF":1.6000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Access","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11297298251342303","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Distal transradial access (dTRA) has received extensive attention and has gradually become an alternative access for cardiac interventions. However, with the widespread use of dTRA, access complications such as distal radial artery occlusion (dRAO), haematoma, pseudoaneurysm and arteriovenous fistula (AVF) have been reported. In this study, we report a case of AVF after dTRA and review the related literature.

Case report: A 54-year-old female, who underwent percutaneous coronary intervention (PCI) 2 years ago, was admitted to the hospital with discomfort in her thumb. On admission, a mass was found at the puncture site, and ultrasound revealed a fistula between the distal radial artery (DRA) and the cephalic vein (CV). The patient was treated with manual compression for 2 h. Three months later, the mass was smaller than before, the symptoms had resolved and the fistula was found to have closed on repeat ultrasound.

Conclusion: Understanding the mechanisms underlying the occurrence of AVF and the principles guiding the treatment of the potential risks associated with AVF after dTRA is important and allows for the effective prevention of AVF and accurate prognostic prediction.

查看原文本刊更多论文

桡骨远端经桡骨通路后动静脉瘘1例报告及文献复习。

背景：远端经桡骨通路（dTRA）已受到广泛关注，并逐渐成为心脏介入治疗的替代途径。然而，随着dTRA的广泛应用，通路并发症如桡动脉远端闭塞（dRAO）、血肿、假性动脉瘤和动静脉瘘（AVF）已被报道。在本研究中，我们报告1例dTRA术后AVF并复习相关文献。病例报告：一名54岁女性，2年前行经皮冠状动脉介入治疗（PCI），因拇指不适入院。入院时，穿刺处发现肿块，超声显示桡动脉远端（DRA）和头静脉（CV）之间有瘘。患者采用手压治疗2小时。3个月后，肿块变小，症状消失，重复超声检查发现瘘管闭合。结论：了解AVF发生的机制和指导dTRA后AVF相关潜在风险治疗的原则对于有效预防AVF和准确预测预后具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.