Treatment of postcatheterization femoral arteriovenous fistulas with simple prolonged bandaging / 中华医学杂志(英文版)
Chinese Medical Journal
;
(24): 952-955, 2007.
Article
in English
| WPRIM
| ID: wpr-240294
ABSTRACT
<p><b>BACKGROUND</b>The methods for the treatment of postcatheterization femoral arteriovenous fistulas (AVF-s) - simple observation, ultrasound guided compression, covered stents implantation and coil embolization have poor outcome. Surgery is the standard method for treatment of femoral AVFs, but it is a traumatic operation. In this study, we report the results of the treatment of postcatheterization femoral AVFs by simple prolonged compressing bandage.</p><p><b>METHODS</b>To treat iatrogenic femoral AVFs caused by transfemoral catheterization, prolonged binding with elastic or common bandage was applied in 16 cases. Catheterization was performed in 7 cases for radiofrequency current catheter ablation, in 4 for occlusion of congenital heart disease, in 3 for percutaneous coronary intervention, in 1 for coronary angiography and in 1 for right heart catheterization.</p><p><b>RESULTS</b>All iatrogenic femoral AVFs were healed after simple binding with elastic or common bandage for 4 - 46 days (mean (15 +/- 10) days). During the period of binding, local skins ulceration occurred at puncture site in two cases and femoral vein thrombus was found in one patient. During 6 - 24 months (mean (11.8 +/- 3.6) months) followup with colour Doppler ultrasonography, no recurrent arteriovenous shunting or other complications were observed.</p><p><b>CONCLUSION</b>The results suggest that simple prolonged bandaging for postcatheterization femoral AVFs is an effective and economical procedure.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Therapeutics
/
Bandages
/
Catheterization, Peripheral
/
Arteriovenous Fistula
/
Femoral Artery
/
Femoral Vein
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Chinese Medical Journal
Year:
2007
Type:
Article
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