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Postcatheterization radial arteriovenous fistula: balloon-assisted direct percutaneous embolization with N-butyl cyanoacrylate and 50 % glucose solution in two sessions
- Source :
- Japanese Journal of Radiology. 31:505-510
- Publication Year :
- 2013
- Publisher :
- Springer Science and Business Media LLC, 2013.
-
Abstract
- We report an iatrogenic radial arteriovenous fistula (AVF) in a 74-year-old woman presenting with right radial bruit and pain 8 months after sheath removal for cardiac catheterization. She refused surgical ligation and underwent balloon-assisted direct percutaneous embolization of the draining vein with N-butyl cyanoacrylate (NBCA). Another draining vein that developed immediately after the procedure was conservatively treated with 1 month of continuous band compression. However, its diameter gradually increased and, as the patient desired complete remission, an additional procedure was conducted 2 months after initial treatment. A second balloon-assisted direct percutaneous embolization was performed using a 50 % glucose solution, which resulted in complete resolution. Although surgical repair is considered to be the standard treatment, in patients where surgery is not indicated, endovascular intervention-although complicated-may be an alternative treatment modality.
- Subjects :
- Diagnostic Imaging
Cardiac Catheterization
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Iatrogenic Disease
Arteriovenous fistula
Balloon
law.invention
law
medicine.artery
Humans
Medicine
Radiology, Nuclear Medicine and imaging
Embolization
Radial artery
Vein
Device Removal
Aged
Cardiac catheterization
business.industry
Balloon Occlusion
Enbucrilate
medicine.disease
Surgery
Glucose
medicine.anatomical_structure
Cyanoacrylate
Arteriovenous Fistula
Radial Artery
Female
Radiology
business
Subjects
Details
- ISSN :
- 1867108X and 18671071
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- Japanese Journal of Radiology
- Accession number :
- edsair.doi.dedup.....9897e508ce9a405d57ced481b1c32966