Chronic ischaemic leg ulcer as a late complication of post-traumatic arteriovenous fistula

2011 ◽  
Vol 27 (3) ◽  
pp. 124-127 ◽  
Author(s):  
S Suknaic ◽  
L Erdelez ◽  
A Skopljanac ◽  
D Sef ◽  
K Novačić
Keyword(s):  
Arteriovenous Fistula ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Femoral Vein ◽  
Late Complication ◽  
Venous Hypertension ◽  
Leg Ulcer ◽  
Lateral Side ◽  
Post Traumatic ◽  
Arterial Pulses

Objective Chronic post-traumatic arteriovenous fistula (AVF) is a late complication of vascular injury and can be presented with symptoms of congestive heart failure, venous hypertension and distal ischaemia. We present an unusual case of chronic ischaemic leg ulcer in young adult caused by post-traumatic AVF. Case report A 29-year-old male patient was admitted to our hospital with symptoms of chronic ulcer located on the lateral side of the lower left leg. Arterial pulses distally from the groin were absent. His medical history revealed him to have sustained gunshot injury of the left thigh in the war conflict 18 years before. Angiography showed a large AVF between superficial femoral artery and femoral vein. The patient underwent surgical repair of AVF with reconstruction of superficial femoral artery by saphenous vein interposition under spinal anaesthesia. Completion angiography confirmed AVF exclusion. Leg ulcer healed within a month. Conclusion Chronic leg ulcer may be the only symptom of large post-traumatic AVF in young adults.

Proximal deep venous thrombosis following PTA of the superficial femoral artery – an obligation to disclose a complication that is rarely taken into account

VASA ◽  
2006 ◽  
Vol 35 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Klein-Weigel ◽  
Pillokat ◽  
Klemens ◽  
Köning ◽  
Wolbergs ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Rare Complication ◽  
Femoral Vein ◽  
Vein Thrombosis ◽  
Explicit Information ◽  
Life Threatening ◽  
Legal Consequences

We report two cases of femoral vein thrombosis after arterial PTA and subsequent pressure stasis. We discuss the legal consequences of these complications for information policies. Because venous thrombembolism following an arterial PTA might cause serious sequel or life threatening complications, there is a clear obligation for explicit information of the patients about this rare complication.

Late diagnosed post traumatic femoral arteriovenous fistula revealed by leg ulcer

2020 ◽  
Vol 45 (4) ◽  
pp. 224-227
Author(s):  
M. Ben Mrad ◽  
M. Ben Hammamia ◽  
Z. Daoud ◽  
S. Chatti ◽  
N. Krarti ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Leg Ulcer ◽  
Post Traumatic

Use of a Superficial Femoral Artery Autograft as a Femoral Vein Replacement

2015 ◽  
Vol 29 (2) ◽  
pp. 364.e19-364.e21
Author(s):  
Kemal Korkmaz ◽  
Hikmet Selçuk Gedik ◽  
Adnan Yalçınkaya ◽  
Ali Ümit Yener ◽  
Adem İlkay Diken ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Femoral Vein

The transposed femoral vein arteriovenous fistula for hemodialysis

2018 ◽  
Vol 20 (2) ◽  
pp. 169-174
Author(s):  
Martin Söderman ◽  
Jes S Lindholt ◽  
Lene L Clausen
Keyword(s):  
Body Mass Index ◽  
Confidence Interval ◽  
Vascular Access ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Lower Limb ◽  
Femoral Vein ◽  
Wound Dehiscence ◽  
Feasible Method ◽  
Study Population

Introduction: The prevalence and incidence of patients in need of hemodialysis worldwide are increasing. The population in need of hemodialysis is becoming older and vascular comorbidities are more frequent than decades ago. Consequently, the prevalence of patients with exhausted possibilities of upper limb vascular accesses increases. In contrast to other lower limb vascular accesses, a fistula by transposing the femoral vein to the superficial femoral artery promises better patency rates in preliminary series. Methods: The first seven cases performed between October 2015 and March 2017 at the only center in Denmark performing this procedure were reviewed regarding demographics, comorbidities, complications, and patency. Results: The study population consisted of five males and two females, with a mean age of 61.6 ± 9.9 years, mean body mass index 24.9 ± 2.6, with various causes of uremia. Five patients (71.4%) experienced at least one complication, such as wound dehiscence, lymphocele, infection, hematoma, or steal. First cannulation of the transposing the femoral vein to the superficial femoral artery was conducted after 12.2 ± 4.3 weeks. Postoperatively, the patients have been followed 16.4 ± 9.6 months in the dialysis center. All but one is still using their transposing the femoral vein to the superficial femoral artery for dialysis, but three of these needed revision to maintain patency giving a primary and primary-assisted patency of 42.9 (95% confidence interval: 15.8–75.0) and 85.7 (95% confidence interval: 48.7–97.4), respectively. Conclusion: Although postoperative complications and need for revision to maintain patency persists, our experience suggests that this is a feasible method when it is no longer possible to create an upper extremity vascular access. A learning curve for the entire vascular access team must be expected.

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