Distal Arteriovenous Fistula Formation After Percutaneous Coronary Intervention: An Old Complication of a New Access Site

Division

North Florida

Hospital

North Florida Regional Medical Center

Document Type

Case Report

Publication Date

2-7-2020

Keywords

cardiac catheterization, cephalic vein, distal radial artery access, vascular ultrasound

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine

Abstract

Dorsal or distal transradial artery access has recently gained popularity due to several perceived benefits that include favorable ergonomics, the potential for rapid hemostasis and lower rates of vascular complications. Still, no vascular access site is free of complications and reports of hematoma and pseudoaneurysm formation related to distal radial artery access have been reported in the literature. We present a case of a 71-year-old male who developed an arteriovenous fistula (AVF) involving the distal left radial artery following repeated access of the artery. This rare complication is likely avoidable with a comprehensive understanding of the surrounding anatomy and proper procedural technique, including the routine use of ultrasound for access.

Publisher or Conference

Catheterization & Cardiovascular Interventions

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