We present 5 cases of iatrogenic arteriovenous fistulas in the unusual form of a channel with a saclike widening. Three of them were treated surgically, while the other 2 were successfully treated with compression of the inflow channel by percutaneous application of tissue glue into the region of the inflow channel and consequent stopping of the blood flow in the arteriovenous fistulas structure. Additional tissue glue application was performed to achieve arteriovenous fistulas sac embolization. This is the first time that such a complication has been treated with a nonsurgical method.
REFERENCES(14)
1.
Hirano Y, Ikuta S, Uehara H. Diagnosis of vascular complications at the puncture site after cardiac catheterization. J Cardiol 2004; 43: 259-265.
Pitta SR, Prasad A, Kumar G, Lennon R, Rihal CS, Hol- mes DR. Location of femoral artery access with vascular complications. Catheter Cardiovasc Interv 2011; 78: 294-299.
Ohlow MA, Seckuns MA, von Korn H, Neumeister A, Wagner A, Yu J, Lauer B. Incidence and outcome of femoral vascular complications among 18.165 patients undergoing cardiac catheterization. Int J Cardiol 2009; 135: 66-71.
Lotfi M, Nabavizadeh SA, Abbasi HR, Geramizadeh B. Iatrogenic venous pseudoaneurysm following venipuncture: case report and review of the literature. J Clin Ultrasound 2007; 35: 521-523.
Ward WH, Platz TA, Pond KT, Southern FA, Moore EM. Iatrogenic venous pseudoaneurysm: case report and review of the literature. Vascular 2009; 17: 355-358.
Kurzawski J, Janion-Sadowska A, Zandecki L, Sadow- ski M. Comparison of the efficacy and safety of two dosing protocols for ultrasound guided thrombin injection in patients with iatrogenic femoral pseudoaneurysms. Eur J Vasc Endovasc Surg 2020; 59: 1019-1025.
Kurzawski J, Zandecki L, Janion-Sadowska A, Piatek L, Jaroszynska A, Domagala S, Sadowski M, Baranska E. Choosing a treatment method for post-catheterization pseudoaneurysms guided by the late to early velocity index. Sci Rep 2021; 11: 16678.
Kurzawski J, Sadowski M, Janion-Sadowska A. Complications of percutaneous thrombin injection in patients with postcatheterization femoral pseudoaneurysm. J Clin Ultrasound 2016; 44: 188-195.
De Santis F, Zywica M, Mani G, Martini G. Localized superficial femoral vein thrombosis coupled with iatrogenic arteriovenous fistulas presenting as pulmonary emboli. Phlebology 2012; 27: 191-193.
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.