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An inadvertently created arteriovenous fistula in the radial artery benefitting the patient for future haemodialysis

Year: 2025

Type: article

Abstract: Radial artery puncture is a routine procedure in clinical practice for both diagnostic and therapeutic purposes. Although generally considered safe, rare complications, such as the development of arteriovenous fistula (AVF), can occur. This case report describes the case of a 57-year old male with stage 5 chronic kidney disease (CKD) who developed an AVF following percutaneous coronary intervention (PCI). Ultrasound evaluation revealed that the AVF had matured sufficiently and was likely to provide adequate blood flow for future haemodialysis. Notably, this inadvertent AVF obviated the need for additional surgical intervention to establish dialysis access. This case highlights the rare but beneficial outcome of AVF formation following radial artery puncture, emphasising the importance of considering anatomical variations and procedural factors during the radial artery puncture.

Source: Journal of the Pakistan Medical Association

DOI: 10.47391/jpma.22423

Authors: Fangzhong Huang, Xingzhen Zhang, Xiaolei Lan, Shuangqing Li, Jian Huang

Institutions: Jinhua Central Hospital, Zhejiang University

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $650