Arteriovenous Fistula as a Rare Early Complication of Transradial Coronary Angiography: With Literature Review on Management Strategies
Bibliographic record
Abstract
Iatrogenic arteriovenous (AV) fistula is a vascular complication which may result from coronary angiography. Whilst infrequent via transfemoral access, the incidence in transradial angiography is even rarer with mostly case reports in the literature. Most of these had thus far described transradial AV fistula formation as a delayed complication requiring surgical intervention. Here we describe a rare early case of transradial AV fistula complicating coronary intervention which was managed conservatively with mechanical compression. Follow-up imaging confirmed resolution of fistula. We also reviewed the existing literature on management strategies for transradial AV fistula. We support the use of conservative management as the first-line treatment option for transradial AV fistula, with surgical options reserved for cases involving limb vascular compromise and cardiac insufficiency. J Med Cases. 2015;6(10):453-456 doi: http://dx.doi.org/10.14740/jmc2291w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".