관상동맥조영술 후 발생한 동정맥루 1예
Radial Arteriovenous Fistula after Coronary Angiography
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참고문헌
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초록
관상동맥조영술(coronary angiography, CAG)을 시행함에 있어 경요골동맥 접근은 혈관접근경로의 부작용을 줄일 수 있고 재원기간을 짧게 할 수 있어 점차 사용 빈도가 증가하고 있다[1-3]. 경요골동맥 접근을 통한 CAG 이후 동정맥루의 형성은 요골동맥 주위에 큰 정맥이 없기 때문에 매우 드문 것으로 알려져 있다[4]. 저자들은 경요골동맥 접근을 통한 CAG를 시행한 이후 손목의 박동을 주소로 내원한 환자에서 동정맥루를 진단하여 국소적 압박을 시행하였으나 성공하지 못하여 2차례에 걸친 수술을 통해 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
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.
참고문헌 (10)
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