Iatrogenic Arteriovenous Fistula Following Femoral Access Precipitating High-Output Heart Failure
Robert Zilinyi, Sanjum S. Sethi, Manish A. Parikh, Sahil A. Parikh
Abstract
Iatrogenic complications may manifest in a variety of ways. We present the case of an 86-year-old woman who underwent a percutaneous coronary intervention with a drug-eluting stent for non–ST-segment elevation myocardial infarction followed by leadless pacemaker placement through a femoral approach. Her post-procedure course was complicated by new onset high-output heart failure secondary to iatrogenic arteriovenous fistula formation, requiring covered stent placement. (Level of Difficulty: Advanced.)
Topics & Concepts
MedicinePercutaneous coronary interventionArteriovenous fistulaMyocardial infarctionHeart failureStentSurgeryCardiologyFistulaInternal medicineRadiologyVascular Procedures and ComplicationsCentral Venous Catheters and HemodialysisVenous Thromboembolism Diagnosis and Management