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Iatrogenic high-flow femoral AV fistula – A clinicalcase

Volume 12, Issue 1

Original Article / Published: December 2024

DOI:

P. Marmarov, N. Kolev, M. Tsekov, S. Marangozov, T. Naydenova, K.Guirov

Military Мedical Аcademy, Clinic of Vascular Surgery

Abstract

Arteriovenous fistula (AVF) was first described in medicine by William Hunter in 1757, followed by the first surgical attempt at its correction in 1837 by Breschet, who attempted to eliminate the fistula by ligation of the proximal artery. As minimally invasive procedures and the wide variety of endovascular devices have increased, so have post-procedural complications. Post-procedural arteriovenous fistula in the inguinal region is a relatively rare complication, which in its evolution could lead to congestive heart failure and changes in tissue perfusion of the lower limb due to the direct passage of blood from the arterial to the venous system.

References

  1. Jayroe H, Foley K. Arteriovenous fistula. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2021.
  2. Finlay DJ, Sanchez LA, Sicard GA. Subclavian artery injury, vertebral artery dissection, and arteriovenous fistulae following attempt at central line placement. Ann Vasc Surg. 2002;16:774.
  3. Johnson LW, Esente P, Giambartolomei A, et al. Peripheral vascular complications of coronary angioplasty by the femoral and brachial techniques. Catheterization and Cardiovascular Diagnosis. 1994;31(3):165–172.
  4. Stigall KE, Dorsey JS. Late complications of traumatic arteriovenous fistula. Case report and overview. American Surgeon. 1989;55(3):180–183.
  5. Sidawy AN, Neville RF, Adib H, Curry KM. Femoral arteriovenous fistula following cardiac catheterization: an anatomic explanation. Cardiovascular Surgery. 1993;1(2):134–137.
  6. Korsheed S, Eldehni MT, John SG et al. Effects of arteriovenous fistula formation on arterial stiffness and cardiovascular performance.
  7. Iwashima Y, Horio T, Takami Y et al. Effects of the creation of arteriovenous fistula for hemodialysis on cardiac function and natriuretic peptide levels in CRF. Am J Kidney Dis. 2002;40:974– 82. doi:10.1053/ajkd.2002.36329.
  8. Sumner DS. Hemodynamics and pathophysiology of arteriovenous fistulae. In: Rutherford RB, editor. Vascular Surgery. 5th edition. Philadelphia, Pa, USA: W. B. Saunders; 2000.
  9. Linder F. Acquired arteriovenous fistula. Report of 223 operated cases. Ann Chir Gynaecol 1985; 74: 1–5.
  10. Parodi JC, Schonholz C, Ferreira LM et al. Endovascular stent graft treatment of traumatic arterial lesions. Ann Vasc Surg 1999; 13: 121– 129.
  11. Muller DWM, Shamir KJ, Ellis SG et al. Peripheral vascular complications after conventional and complex percutaneous coronary intervention procedures. Am J Cardiol 1992; 69:63–68.
  12. Ruebben A, Tettoni S, Muratore P et al. Arteriovenous fistulas induced by femoral artery catheterization: percutaneous treatment. Radiology 1998; 209: 729–734.
  13. Mylankal KJ, Johnson B, Ettles DF. Iatrogenic arteriovenous fistula as a cause for leg ulcers: a case report. Ann Vasc Dis 2011;4:139–42.
  14. O’Brien J, Buckley O, Torreggiani W. Hemolytic anemia caused by iatrogenic arteriovenous iliac fistula and successfully treated by endovascular stent-graft placement. AJR Am J Roentgenol 2007;188:W306.

Keywords:

arteriovenosis fistula, congestive heart failure, mini-invasive procedures.

How to cite this article:

P. Marmarov, N. Kolev, M. Tsekov, S. Marangozov, T. Naydenova, K.Guirov Iatrogenic high-flow femoral AVfistula – A clinical case; Endourology and minimally invasive surgery, 2024; 12(1): 55-58

Corresponding author:

Dr. Petar Marmarov

Military Medical Academy of Sofia, Clinic of Vascular Surgery, 3 “Georgi Sofiiski” blvd., Sofia 1606

e-mail: drmarmarov@gmail.com