RISS 검색 - 국내학술지논문 상세보기

국문 초록 (Abstract)

67세 남자 환자에서 경요골동맥 접근을 통해 CAG를 시행하고 3개월 후 시술을 시행한 손목의 박동을 주소로 외래를 방문하였다. 국소적인 압박을 통한 치료와 1회의 동정맥루결찰술 이후에도 ...

67세 남자 환자에서 경요골동맥 접근을 통해 CAG를 시행하고 3개월 후 시술을 시행한 손목의 박동을 주소로 외래를 방문하였다. 국소적인 압박을 통한 치료와 1회의 동정맥루결찰술 이후에도 잡음이 지속되어 상지 동맥조영술을 통해 남아있는 동정맥루를 확인하였고 외과적 동정맥루결찰술을 재시행하여 호전되었던 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

다국어 초록 (Multilingual Abstract)

A 67-year-old man underwent coronary angiography using a transradial approach. Three months after coronary angiography, the patient complained of a thrill detected in his right wrist. Localized compression was performed in the assumption of arteriovenous fistula formation. Since thrill was still detected after localized compression, surgical revision of an arteriovenous fistula was performed. Six days later, radial bruit was still reported. It was decided to perform upper extremity angiography. Upper extremity angiography revealed the remaining arteriovenous fistula from radial artery to cephalic vein, and surgical revision was performed again. This appears to be a very unusual complication related to the transradial approach for coronary angiography. (Korean J Med 2016;90:231-233)

참고문헌 (Reference)

1 Cha KS, "The feasibility and safety of transradial coronary stenting using 6 French guiding catheter" 56 : 165-173, 1999

2 Jolly SS, "Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes(RIVAL) : a randomised, parallel group, multicentre trial" 377 : 1409-1420, 2011

3 나권중, "Radial Arteriovenous Fistula Developed Late after Coronary Angiography: A Case Report" 대한흉부외과학회 45 (45): 421-423, 2012

4 Fagih B, "Pseudoaneurysm : a late complication of the transradial approach after coronary angiography" 12 : 216-217, 2000

5 Campeau L, "Percutaneous radial artery approach for coronary angiography" 16 : 3-7, 1989

6 Summaria F, "Percutaneous antegrade transarterial treatment of iatrogenic radial arteriovenous fistula" 13 : 50-52, 2012

7 Kelm M, "Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas : implications for risk stratification and treatment" 40 : 291-297, 2002

8 Pulikal GA, "Images in cardiovascular medicine. Radial arteriovenous fistula after cardiac catheterization" 111 : 99-, 2005

9 Eichhöfer J, "Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use : a large single-center experience" 156 : 864-870, 2008

10 Dehghani P, "Arteriovenous fistula as a complication of transradial coronary angiography : a case report" 7 : 21-, 2013