Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Incidence of aorto-caval fistulae is quite low, ranging from 0.22 to 6.04% of all abdominal aortic aneurysm. One of the rare forms of abdominal aortic aneurysm rupture is rupture into great abdominal veins, such as the inferior vein cava (IVC) or the iliac veins. The typical clinical presentation includes abdominal pain, a pulsatile abdominal mass, an abdominal bruit and acute dyspnea. Morbidity and mortality will be affected by the acute presentation, preoperative recognition of the fistula, the extent of cardiac failure, coronary disease and other risk factors of atherosclerosis. Correct operative management includes expeditious control of the bleeding, greater care to avoid embolization through the fistula, use of blood salvage, and only selective caval interruption. Introduction Arteriovenous fistula (AVF) of the infrare...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract A 79-year-old male presented with chest pain and electrocardiographic evidence of inferior ST elevation myocardial infraction (STEMI). He underwent primary percutaneous coronary intervention via radial approach. Following the procedure he developed swelling at the access site and a bruit was heard. Ultrasonography demonstrated an arteriovenous fistula. He was managed conservatively and was seen few weeks later with complete resolution of his symptoms. Keywords: Radial artery; Arteriovenous fistula; Angiography Case Report Discussion Transradial coronary angiography has significantly reduced access site complications. AVF is an abnormal connection between the arterial and venous systems. AVF is an extremely rare complication following the transradial approach and has been reported only in few cases [1-4]. On the other hand, AVF is a well-known complication of the trans...

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: Percutaneous transluminal angioplasty (PTA) has become an established treatment of dysfunctional arteriovenous fistula (AVFs). The outcome of such intervention is significantly influenced by the site of the underlying lesion. Aim of the study: To focus on the impact of the site of the lesion(s) tackled on the immediate and delayed outcomes of endovascular salvage of dysfunctional AVFs in terms of technical success and 6 month patency rate; aiming at significant improvement in the management plan. Patients and methods: This prospective study was carried out since January 2012 through August 2015. The study included 253 hemodialysis patients; 147 (58.1%) males and 106 (41.8%) females with a mean age of 58 ± 15 years. All patients had dysfunctional native AVFs that were subjected to endovascular salvage. The outcomes were evaluated in view of the site of under...