Usefulness of continuous compression using TR Band™ for radial arteriovenous fistula following trans-radial intervention

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• 作者：Sho Hashimoto ; MD ; ^{shokarasawa@yahoo.co.jp" class="auth_mail" title="E-mail the corresponding author} ; Jun Shiraishi ; MD ; Masayoshi Kimura ; MD ; Marie Nishikawa ; MD ; Takashi Yanagiuchi ; MD ; Daisuke Ito ; MD ; Eigo Kishita ; MD ; Hirokazu Yokoi ; MD ; Masayuki Hyogo ; MD ; Takatomo Shima ; MD ; Takahisa Sawada ; MD ; FJCC ; Yoshio Kohno ; MD
• 关键词：Arteriovenous fistula ; Radial artery ; Vascular complication ; Non-invasive treatment ; Hemostatic band
• 刊名：Journal of Cardiology Cases
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：12
• 期：6
• 页码：192-194
• 全文大小：476 K

文摘

Arteriovenous fistula (AVF) after trans-radial catheterization is an extremely rare complication. A 61-year-old man experienced a painful swelling in the left radial punctured site. The findings of vascular ultrasound and angiography led to a diagnosis of an iatrogenic radial AVF. We performed continuous compression using a hemostatic band for 24 h after which the radial AVF completely disappeared without vessel occlusion, and no relapse occurred. Eight cases of catheterization-induced radial AVF have been mentioned in the literature, but the treatment has not been noninvasive in any case. This is the first report of an iatrogenic radial AVF that was noninvasively repaired using continuous low-pressure compression with a hemostatic band.

<Learning objective: Arteriovenous fistula (AVF) after trans-radial catheterization is a rare complication. The literature reports only 8 cases of catheterization-induced radial AVF and no patient has been cured noninvasively. This is the first report of an iatrogenic radial AVF that was repaired noninvasively. We believe that continuous low-pressure compression using a hemostatic band is an effective therapeutic option for this complication.>