title: Arteriovenous fistula of the wrist after transradial coronary intervention.
abstract: The transradial approach for percutaneous coronary intervention (PCI) is a common route, but is associated with a few local complications. Access site complications, such as hematoma, radial artery spasm, and a reduced radial pulse, are reported frequently. However, an arteriovenous fistula (AVF) in the wrist related to the procedure is extremely rare. We encountered an AVF of the wrist after a transradial coronary intervention (TRI). The patient complained of a thrill detected in his right wrist, 2 months after TRI. Color Doppler ultrasonography demonstrated an AVF with a high turbulent velocity at the site of communication that required surgical revision. This appears to be a very unusual complication related to the transradial approach for PCI.
authors.affiliation: Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-gu, Seoul, South Korea.
authors.forename: Jeong Hoon
authors.initials: JH
authors.lastname: Yang
authors.forename: Hyeon-Cheol
authors.initials: HC
authors.lastname: Gwon
authors.forename: Jeong Euy
authors.initials: JE
authors.lastname: Park
authors.forename: Young Bin
authors.initials: YB
authors.lastname: Song
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D018615:Ultrasonography, Doppler, Color; D014656:Vascular Surgical Procedures / Q000379:methods