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
em En
| WPRIM
| ID: wpr-240294
Biblioteca responsável:
WPRO
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>
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Índice:
WPRIM
Assunto principal:
Patologia
/
Terapêutica
/
Bandagens
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Cateterismo Periférico
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Fístula Arteriovenosa
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Artéria Femoral
/
Veia Femoral
Limite:
Adolescent
/
Adult
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Aged
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Female
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Humans
/
Male
Idioma:
En
Revista:
Chinese Medical Journal
Ano de publicação:
2007
Tipo de documento:
Article