scholarly journals Traumatic arteriovenous fistula: a 25-year delay in presentation

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Alexandra Stathis ◽  
John Gan
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Popliteal Artery ◽  
Stab Wound ◽  
Duplex Ultrasound ◽  
Posterior Tibial Artery ◽  
Covered Stent ◽  
Delayed Presentation ◽  
Posterior Tibial ◽  
History Of

Abstract A 64-year-old lady presented with a 6-month history of worsening unilateral leg swelling, with an audible bruit of the popliteal artery. Arterial duplex ultrasound confirmed the presence of an arteriovenous fistula (AVF) between the posterior tibial artery and vein. Upon thorough history, it was discovered that the patient had sustained a stab wound to this region some 25 years prior. The fistula was successfully managed endovascularly by means of a covered stent. This case highlights an unusual delayed presentation of an AVF and demonstrates the effectiveness of endovascular treatment of this condition.

Iatrogenic Vertebral Arteriovenous Fistula Treated with a Hemobahn Stent-Graft

2003 ◽  
Vol 10 (3) ◽  
pp. 657-663 ◽  
Author(s):  
Rhyan Priestley ◽  
Peter Bray ◽  
Alan Bray ◽  
Jenny Hunter
Keyword(s):  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Stent Graft ◽  
Duplex Ultrasound ◽  
Covered Stent ◽  
Stent Grafts ◽  
Color Flow ◽  
Planning Treatment ◽  
The Right ◽  
Endoluminal Treatment

Purpose: To illustrate the utility of color flow duplex ultrasound (CFDU) in the diagnosis and stent-graft treatment of a rare arteriovenous fistula (AVF) involving the vertebral artery and vein. Case Report: An iatrogenic AVF involving the right vertebral artery and vein was diagnosed in a 45-year-old man using CFDU. Treatment was recommended due to the large volume of blood shunted through the fistula and the associated loud bruit. Endoluminal treatment involved deployment of a covered stent within the vertebral artery to exclude the fistula. Postoperative CFDU confirmed the success of the treatment. Conclusions: CFDU can be utilized to accurately diagnose unusual lesions, such as AVFs involving the vertebral artery. The technique is also useful in planning treatment and monitoring the durability of stent-grafts implanted to obliterate this type of defect.

scholarly journals Peroneal/posterior tibial nerves delayed dysfunction due to traumatic popliteal artery pseudoaneurysm resulting from trivial stab wound: A case report

2021 ◽  
Vol 12 ◽  
pp. 488
Author(s):  
Abolfazl Rahimizadeh ◽  
Seyed Ali Marashi ◽  
Shahrzad Rahimizadeh ◽  
Mahan Amirzadeh ◽  
Walter L. Williamson
Keyword(s):  
Popliteal Artery ◽  
Peripheral Nerves ◽  
Stab Wound ◽  
Minor Trauma ◽  
Artery Pseudoaneurysm ◽  
Posterior Tibial ◽  
Compressive Neuropathy ◽  
Flow Through ◽  
Nerve Dysfunction ◽  
Popliteal Artery Pseudoaneurysm

Background: Popliteal artery pseudoaneurysms due to stab wounds are extremely rate. Even more infrequently, they can contribute to the compression of multiple peripheral nerves. Case Description: A 23-year-old male, following a trivial stab wound, developed the delayed occurrence of a pseudoaneurysm of the popliteal artery. This resulted in the delayed onset of a compressive popliteal/posterior tibial neuropathy. Following restoration of blood flow through the popliteal artery utilizing saphenous vein grafting, additional neurolysis resulted in resolution of the compressive neuropathy. Conclusion: A 23-year-old male developed a pseudoaneurysm following minor trauma that resulted in peripheral nerve dysfunction.

Brachial Arteriovenous Fistula as a Complication of Placement of a Peripherally Inserted Central Venous Catheter: A Case Report and Review of the Literature

2006 ◽  
Vol 72 (9) ◽  
pp. 833-836 ◽  
Author(s):  
Hoang S. Tran ◽  
Brian J. Burrows ◽  
William A. Zang ◽  
David C. Han
Keyword(s):  
Central Venous Catheter ◽  
Arteriovenous Fistula ◽  
Duplex Ultrasound ◽  
Venous Catheter ◽  
Central Venous ◽  
Arterial Tree ◽  
Line Placement ◽  
Term Administration ◽  
History Of ◽  
Picc Line

Peripherally inserted central venous catheter (PICC) lines have become a frequently used method of intravenous access for long-term administration of antibiotics, chemotherapy, and parenteral nutrition. Catheter-related complications involving the arterial tree are rare. We report a case of a 25-year-old woman with a history of difficult PICC line placement that presented with an arteriovenous fistula in the left arm. Duplex ultrasound confirmed the diagnosis of a brachial artery-to-brachial vein arteriovenous fistula (AVF), and the patient underwent surgical repair. To our knowledge, this is the first reported case of an AVF resulting from PICC line placement. Correction of AVF is indicated to alleviate symptoms as well as to prevent future complications.

scholarly journals Retrograde Tibiopedal Access as a Bail-Out Procedure for Endovascular Intervention Complications

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmed Amro ◽  
Alaa Gabi ◽  
Adee Elhamdani ◽  
Naveed Iqbal ◽  
Mehiar El-Hamdani
Keyword(s):  
Limb Salvage ◽  
Femoral Artery ◽  
Critical Limb Ischemia ◽  
Superficial Femoral Artery ◽  
Limb Ischemia ◽  
Posterior Tibial Artery ◽  
Covered Stent ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Bail Out

Introduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage in critical limb ischemia (CLI) patients. In this manuscript we are presenting a case where retrograde tibiopedal access has been used as a bail-out procedure for the management of superficial femoral artery (SFA) intervention complications.Procedure/Technique. After development of a perforation while trying to cross the totally occluded mid SFA using the conventional CFA access, we were able to cross the mid SFA lesion after accessing the posterior tibial artery in a retrograde fashion and delivered a self-expanding stent which created a flap that sealed the perforation without the need for covered stent.Conclusion. Retrograde tibiopedal access is a safe and effective approach for delivery of stents from the distal approach and so can be used as a bail-out technique for SFA perforation.

Stent-Graft Repair of a Recurrent Popliteal Arteriovenous Fistula

2002 ◽  
Vol 9 (3) ◽  
pp. 375-378 ◽  
Author(s):  
Ignace F.J. Tielliu ◽  
Eric L.G. Verhoeven ◽  
Ted R. Prins ◽  
Marc van Det ◽  
Jan J.A.M. van den Dungen
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Treatment Option ◽  
Stent Graft ◽  
Popliteal Artery ◽  
Venous Hypertension ◽  
Surgical Reconstruction ◽  
Arthroscopic Meniscectomy ◽  
Stent Graft Repair

Purpose: To describe the successful endovascular treatment of a popliteal arteriovenous fistula with a stent-graft. Case Report: A 54-year-old man was referred to our hospital with a distal popliteal arteriovenous fistula following an arthroscopic meniscectomy 6 years earlier. Three surgical attempts to close the fistula were undertaken, but the fistula recurred. He now presented with symptoms of progressive venous hypertension with claudication, swelling of the leg, and ulceration at the ankle. The fistula was closed with a stent-graft deployed percutaneously. At 18 months, the patient is doing well; duplex evaluation has documented the patency of the popliteal artery and the stent-graft. Conclusions: Endovascular treatment of a popliteal arteriovenous fistula is an alternative to open surgical reconstruction. In this situation, after multiple failed surgical closures and in a leg with extensive venous hypertension, it may be the best treatment option.

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