Iatrogenic Arteriovenous Fistula Formation after Endovenous Laser Treatment Resulting in High-output Cardiac Failure: A Case Report and Review of the Literature

Author(s):  
Steven Tohmasi ◽  
Nii-Kabu Kabutey ◽  
Samuel L. Chen ◽  
Brian Sheehan ◽  
William Q. Duong ◽  
...  
2010 ◽  
Vol 51 (3) ◽  
pp. 715-719 ◽  
Author(s):  
Scott J. Ziporin ◽  
Catherine K. Ifune ◽  
Malcolm P. MacConmara ◽  
Patrick J. Geraghty ◽  
Eric T. Choi

2010 ◽  
Vol 6 (6) ◽  
pp. 553-558 ◽  
Author(s):  
Adam S. Reig ◽  
Scott D. Simon ◽  
Wallace W. Neblett ◽  
Robert A. Mericle

The authors report the 8-year follow-up of a patient previously described in the literature who originally presented in high-output cardiac failure secondary to a complex neonatal intracranial dural arteriovenous fistula (DAVF). The earlier case report described palliative treatment with a combination of extracorporeal membrane oxygenation (ECMO) and endovascular embolization for life-threatening high-output cardiac failure secondary to a DAVF. Access was obtained using the ECMO cannula, and embolization was performed while the patient was connected to the ECMO machine. The patient made an excellent recovery following partial embolization of the fistula, but then presented again 7 years later with worsening headaches secondary to significant growth of the known residual portion of the fistula identified on CT angiography. The child also developed bilateral femoral artery (FA) occlusions secondary to multiple previous FA punctures. To achieve complete obliteration of the remaining fistula, the patient required a retroperitoneal approach to the iliac artery and percutaneous puncture of the internal jugular vein. Embolization was performed with a combination of platinum coils and ethylene vinyl alcohol copolymer liquid embolic agent. There were no complications, and the child remains neurologically normal, with no signs of permanent cardiovascular sequelae. In this case report, the authors discuss the long-term management of AVFs treated by endovascular strategies early in life. After neonatal access, sometimes the FAs occlude, requiring more invasive access strategies. The authors also discuss the follow-up method, intervals, and threshold for further treatment for these lesions, and present a review of the literature.


2018 ◽  
Vol 71 (6) ◽  
pp. 896-903
Author(s):  
Amtul Aala ◽  
Sairah Sharif ◽  
Leslie Parikh ◽  
Paul C. Gordon ◽  
Susie L. Hu

2011 ◽  
Vol 93 (5) ◽  
pp. e32-e34 ◽  
Author(s):  
TC Hall ◽  
G Garcea ◽  
A Rajesh ◽  
AR Dennison

Intraductal papillary mucinous neoplasms (IPMNs) are benign cystic lesions of the pancreas with recognised premalignant potential. An occasional feature of IPMNs is fistula formation to surrounding organs. This report describes a case of a pancreaticogastric fistula from a main duct IPMN that produced the complete resolution of the patient’s symptoms.


2004 ◽  
Vol 43 (5) ◽  
pp. e21.1-e21.6 ◽  
Author(s):  
Jennifer M MacRae ◽  
Sanjay Pandeya ◽  
Dennis P Humen ◽  
Nikolai Krivitski ◽  
Robert M Lindsay

2012 ◽  
Vol 3 (1) ◽  
pp. 53 ◽  
Author(s):  
Takaaki Miyagishima ◽  
Masato Inoue ◽  
Hiroyasu Ohno ◽  
Kanehiro Hasuo ◽  
Tetsuo Hara ◽  
...  

2020 ◽  
Vol 13 (2) ◽  
pp. e233669 ◽  
Author(s):  
James Leon Hartley ◽  
Asheesh Sharma ◽  
Lamis Taha ◽  
Thomas Hestletine

A 32 year-old woman was admitted to our institution with progressive dyspnoea. Her medical history was notable for end-stage renal failure secondary to chronic pyelonephritis, and she had undergone a cadaveric renal transplant in 2010. This had been preceded by haemodialysis treatment via a radiocephalic arteriovenous fistula. Her diagnostic evaluation was remarkable for pulmonary hypertension. A subsequent doppler ultrasound of her arteriovenous fistula revealed a blood flow of 3 L/min. This is consistent with a high output fistula. Echocardiography demonstrated an improvement in pulmonary artery pressure with occlusion of the fistula. After multidisciplinary discussion, a decision was made to surgically tie off her fistula. The patient experienced immediate improvement in her shortness of breath along with resolution of pulmonary hypertension on echocardiography. This case highlights the rare complication of high output cardiac failure from a dialysis fistula and its successful surgical management.


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