Naslov
Incidence and long term consequences of arteriovenous fistula after invasive coronary angiography

Autori
Cerkez Habek, Jasna ; Sikic, Jozica ; Pevec Matic, Damira ; Gulin, Dario

Izvornik
Cardiologia croatica (1848-543X) 9 (2014), 9-10; 391-391

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
arteriovenous fistula, incidence, long term consequences

Sažetak
AIm: Femoral vascular access site complications in-cluding: hematoma, retroperitoneal hemorrhage, pseudo-aneurysm, arteriovenous fistula (AVF), arterial occlusion, femoral neuropathy and infection. AVF occurs according to literature from 0.2 to 2.1%. The goal was to find out inci-dence of AVF and their long term consequences. pATIENTs AN d mET hOds: From January 2008 until November 2013 a total of 6017 coronary angiographies were performed. AVF had 48 patients, respectively 0.7 %. At time of research, 5 patients died and 7 patients did not want to be involved. To the remaining 36 patients, lower extremities venous Doppler and previous AVF site Dop-pler, as well as echocardiography were performed.ReSultS: From 36 patients with previously diagnosed AVF, 16 patients at the control ultrasound had no visible arteriovenous communication, 20 patients had still open AVF. In group with open fistula 5 patients had no com-plaints, 15 patients complained of discomfort in the re- spective leg. Echocardiography in the group of patients with AVF showed only in one patient dilation of right atrium and ventricle. In 3 patients with persistent AVF mild pulmonary hypertension was found, but none in group without AVF. The average pressure in right ven- tricle measured on tricuspidal regurgitation was signifi-cantly higher in a group with AVF, than without (RVSP 22 mmHg ; 16 mmHg, p<0.01). There was no significant dif-ference in a systolic function of right ventricle (TAPSE 19mm mm, 21 mm). CONCLUsION : Vascular site complications remain an important cause of increased morbidity, mortality and prolongation of hospital stay. AVF in our hospital oc-curred in 0.7% patients and 44% of it closed spontaneous-ly. Mostly patients with fistula had local complaints and they had significantly higher right ventricular pressures, but rarely with mild pulmonary hypertension. Clinical monitoring of patients and decision about surgical correction are recommended

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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