Korean Circ J.  2010 Dec;40(12):677-679. 10.4070/kcj.2010.40.12.677.

A Rare Case of Radial Arteriovenous Fistula After Coronary Angiography

• Kwac MS
• Yoon SJ
• Oh SJ
• Jeon DW
• Kim DH
• Yang JY

• KMID: 2225168
• DOI: http://doi.org/10.4070/kcj.2010.40.12.677

Abstract

The percutaneous transfemoral approach has been routinely used for cardiac catheterization and coronary angioplasty. Local vascular complications following angioplasty are seen in 5% to 10% of patients, especially in those who need prolonged anticoagulation. Transradial access for coronary procedures dramatically reduces access site complications. We report a rare case of radial arteriovenous fistula, which developed after coronary angiography perfomed using the transradial approach.

Keyword

Arteriovenous fistula; Radial artery; Coronary angiography

MeSH Terms

Angioplasty
Arteriovenous Fistula
Cardiac Catheterization
Cardiac Catheters
Coronary Angiography
Humans
Radial Artery

Figure

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  Fig. 1 An ultrasound scan of the right radial artery. An ultrasound scan of the right radial artery revealed suspicious turbulent flow, which suggested arteriovenous fistula or pseudoaneurysm.

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  Fig. 2 Upper extremity CT angiography. Upper extremity CT angiography revealed AVF formation between the right radial artery and the adjacent cephalic vein around the right wrist. There was contrast filling in right cephalic (A), brachial, axillary (B), and subclavian veins, and the superior vena cava (C) (white arrows) in arterial phase through the fistula between the radial artery and the cephalic vein.

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