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Arteriovenous fistula after radial catheterization with cardiopulmonary repercussions.
J Vasc Bras 2019; 18:e20180086JV

Abstract

This article describes the case of an 86-year-old coronary disease patient who underwent cardiac catheterization via a left radial access. Around 16 months after the procedure, he presented with dyspnea, unrelated to effort, but associated with nocturnal hypoxia. There was a palpable thrill in the left wrist and he was diagnosed with a radiocephalic arteriovenous fistula in the left wrist. A duplex scan revealed an abnormal wave pattern and increased diastolic velocity compatible with arteriovenous fistula. The fistula was repaired surgically and the patient exhibited improvement in clinical and laboratory parameters after the procedure. Radial access is increasingly being used for cardiac catheterization, primarily because it is associated with fewer and less harmful complications than femoral access. However, complications such as arteriovenous fistula occur and can be particularly harmful in octogenarian patients.

Authors+Show Affiliations

Universidade do Planalto Catarinense - UNIPLAC, Lages, SC, Brasil. Clínica Ana Carolina, Lages, SC, Brasil.Universidade do Planalto Catarinense - UNIPLAC, Lages, SC, Brasil.Universidade do Planalto Catarinense - UNIPLAC, Lages, SC, Brasil.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31191628

Citation

de Oliveira, Alexandre Faraco, et al. "Arteriovenous Fistula After Radial Catheterization With Cardiopulmonary Repercussions." Jornal Vascular Brasileiro, vol. 18, 2019, pp. e20180086.
de Oliveira AF, Ribeiro AD, Ávila MCS. Arteriovenous fistula after radial catheterization with cardiopulmonary repercussions. J Vasc Bras. 2019;18:e20180086.
de Oliveira, A. F., Ribeiro, A. D., & Ávila, M. C. S. (2019). Arteriovenous fistula after radial catheterization with cardiopulmonary repercussions. Jornal Vascular Brasileiro, 18, pp. e20180086. doi:10.1590/1677-5449.008618.
de Oliveira AF, Ribeiro AD, Ávila MCS. Arteriovenous Fistula After Radial Catheterization With Cardiopulmonary Repercussions. J Vasc Bras. 2019;18:e20180086. PubMed PMID: 31191628.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arteriovenous fistula after radial catheterization with cardiopulmonary repercussions. AU - de Oliveira,Alexandre Faraco, AU - Ribeiro,Alexandre David, AU - Ávila,Marcio Costa Silveira, Y1 - 2019/01/30/ PY - 2018/09/13/received PY - 2018/11/05/accepted PY - 2019/6/14/entrez PY - 2019/6/14/pubmed PY - 2019/6/14/medline KW - arteriovenous fistula KW - cardiac catheterization KW - dyspnea KW - percutaneous coronary intervention SP - e20180086 EP - e20180086 JF - Jornal vascular brasileiro JO - J Vasc Bras VL - 18 N2 - This article describes the case of an 86-year-old coronary disease patient who underwent cardiac catheterization via a left radial access. Around 16 months after the procedure, he presented with dyspnea, unrelated to effort, but associated with nocturnal hypoxia. There was a palpable thrill in the left wrist and he was diagnosed with a radiocephalic arteriovenous fistula in the left wrist. A duplex scan revealed an abnormal wave pattern and increased diastolic velocity compatible with arteriovenous fistula. The fistula was repaired surgically and the patient exhibited improvement in clinical and laboratory parameters after the procedure. Radial access is increasingly being used for cardiac catheterization, primarily because it is associated with fewer and less harmful complications than femoral access. However, complications such as arteriovenous fistula occur and can be particularly harmful in octogenarian patients. SN - 1677-7301 UR - https://www.unboundmedicine.com/medline/citation/31191628/Arteriovenous_fistula_after_radial_catheterization_with_cardiopulmonary_repercussions L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31191628/ DB - PRIME DP - Unbound Medicine ER -