Abstract:
BACKGROUND: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. METHODS: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. RESULTS: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. CONCLUSION:The results suggest that simple prolonged bandaging for postcatheterization femoral AVFs is an effective and economical procedure.
journal_name
Chin Med J (Engl)journal_title
Chinese medical journalauthors
Zhou T,Liu ZJ,Zhou SH,Shen XQ,Liu QM,Fang ZF,Hu XQ,Li J,Lü XLsubject
Has Abstractpub_date
2007-06-05 00:00:00pages
952-5issue
11eissn
0366-6999issn
2542-5641journal_volume
120pub_type
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