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Title: Iatrogenic coronary arteriovenous fistula during percutaneous coronary intervention: unique insight into intra-procedural management
Authors: Wilsmore, Bradley ;Gunalingam, Brendan B 
Issue Date: Oct-2009
Source: Volume 22, Issue 5, pp. 460 - 465
Journal title: Journal of Interventional Cardiology
Abstract: We report the case of a 69-year-old man who presented with worsening exertional angina where subsequent percutaneous coronary intervention resulted in a coronary arteriovenous fistula. Attempts to occlude the fistula using a relatively conservative management approach with acute reversal of intraprocedural heparin and prolonged balloon inflation unfortunately resulted in extensive coronary artery thrombosis without immediate resolution of the arteriovenous fistula. However, follow-up at 6 months revealed resolution of the fistula. This case study emphasizes the uncommon but potentially life-threatening complications of percutaneous coronary interventions with implications not only relating to the hazards of managing iatrogenic arteriovenous fistula, but reversing intraprocedural heparin using protamine, during any coronary angiogram.
DOI: 10.1111/j.1540-8183.2009.00496.x
Publicaton type: Journal Article
Keywords: Cardiology
Cardiovascular Disease
Study or Trial: Case Series and Case Reports
Appears in Collections:Cardiology

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