Fístula arteriovenosa radial pós‐cateterismo cardíaco – abordagem terapêutica

João Nobre , David Pinto , Ana Raquel Afonso , Maria José Ferreira Barbas
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Abstract

Arteriovenous fistula is a rare vascular complication of cardiac catheterism, especially in radial approach, an access site increasingly used due to lower rate of complications. The article presents the therapeutic management of a rare arteriovenous fistula as an early complication of coronary angiography with transradial access, in a young patient. The ligation of the fistula was performed under local anesthesia, with immediate resolution of symptoms. Literature review was carried and we support that surgical management is reserved for complications or patients with long term worsening potential.

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心导管插入术后桡动静脉瘘的治疗方法
动静脉瘘是心导管的一种罕见的血管并发症,特别是在桡动脉入路,由于并发症发生率较低,越来越多地使用。本文介绍了一个罕见的动静脉瘘作为冠状动脉造影与经桡动脉通路的早期并发症的治疗管理,在一个年轻的病人。在局部麻醉下进行瘘管结扎,症状立即消失。我们对文献进行了回顾,我们支持对并发症或有长期恶化潜力的患者进行手术治疗。
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