Arteriovenous fistula: A rare complication of arterial puncture for cardiac catheterization

Kron, Jack; Sutherland, Donald W.; Rösch, J; Morton, Mark J.; McAnulty, John H.

doi:10.1016/0002-9149(85)90532-6

Cited by 39 publications

(11 citation statements)

References 5 publications

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“…Percutaneous angioplasty was performed using 8-or 9-F guiding catheters inserted through 9-F sheaths (10-F OD). Percutaneous valvuloplasty was performed using 12-or 14-F sheaths or percutaneously inserted catheters of equivalent size.…”

mentioning

confidence: 99%

Vascular Complications of Percutaneous Femoral Cardiac Interventions

Skillman¹

1988

Arch Surg

165

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mentioning

confidence: 99%

Vascular Complications of Percutaneous Femoral Cardiac Interventions

Skillman¹

1988

Arch Surg

165

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“…None of the patients with femoral arteriovenous fistula had surgery to confirm the diagnosis. Other imaging modalities such as angiography, digital vascular imaging, and computed tomography were not used in these patients because these procedures are invasive, involve radiation, and are costly [4,5,11,13]. Despite these shortcomings the findings of this study support the usefulness of the physical examination and the combined echo Doppler study in the evaluation of patients suspected to have vascular complications following cardiac catheterization.…”

Section: Limitationsmentioning

confidence: 80%

Physical examination and echo doppler study in the assessment of femoral arterial complications following cardiac catheterization

Cohen

Chan

1990

Cathet. Cardiovasc. Diagn.

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Femoral arterial complications following cardiac catheterization have been well recognized. The development of an inguinal mass in these patients can represent a simple hematoma, a pseudoaneurysm, or an arteriovenous fistula. The utility of the physical examination in diagnosing these complications was assessed by using the echo Doppler study for comparison. This study shows that any single clinical sign should not be used in isolation, but a constellation of physical findings can suggest the correct diagnosis.

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“…Travmatik AVF'ler ateşli silah yaralanması, delici kesici alet yaralanması, kırıklar, iyatrojenik (arteriyel ponksiyon ve kanülasyon işlemleri gibi) olarak oluşabilir ve tüm penetran arter yaralanmalarının %10'unu oluşturur. [2,3] Bu nedenle majör vasküler yapılara yakın kırıklar ve penetran yaralanmalarda öykü ve fizik muayene daha dikkatli yapılmalıdır ve oskültasyon ihmal edilmemelidir. Fizik muayene bulguları genellikle tipiktir ve tril ile sistolodiyastolik üfürüm vardır.…”

Section: Sonuçlarunclassified

“…[1] Travmatik AVF'lerin etyolojisinde birçok etken bulunmaktadır. [2,3] Travmatik AVF'lerin tanısı travmadan yıllar sonra konulabileceği için, insidansın doğru olarak saptanması zordur. Travmatik AVF'lerin %50'den fazlası alt ekstremitede görülür.…”

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Our vascular surgical experience in arteriovenous fistula induced by gunshot injury

Hasde¹

2014

Turk Gogus Kalp Dama

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Bu çalışmada, ateşli silah yaralanması sonucu arteriyovenöz fistül (AVF) gelişmesi nedeniyle ameliyat edilen yedi hastadaki cerrahi deneyimimizi sunmayı amaçladık. Ça lış ma pla nı: Ateşli silah yaralanması sonucu AVF gelişen ve kliniğimizde Kasım 2011-Ağustos 2012 tarihleri arasında ameliyat edilen yedi hasta çalışmaya alındı. Hastalar yaralanma bölgeleri, ameliyat zamanlaması ve uygulanan cerrahi işlemler açısından retrospektif olarak değerlendirildi. Bul gu lar: Arteriyovenöz fistül, altı hastada (%85.71) alt ekstremitede, bir hastada (%14.29) üst ekstremitede idi. Alt ekstremitede, AVF dört hastada popliteal arter ve ven, iki hastada femoral arter ve ven arasındaydı. Üst ekstremitede, AVF brakiyal arter ve sefalik ven arasında yerleşmiş konumdaydı. Dört hastada arter ve vene primer onarım, iki hastada artere greft interpozisyon ve vene primer onarım ve bir hastada arter ve vene greft interpozisyonu uygulandı. Tüm hastalara Dacron greft kullanıldı. So nuç:Majör vasküler yapılara yakın penetran yaralanmalarda öykü ve fizik muayene daha dikkatli yapılmalı ve oskültasyon ihmal edilmemelidir. Tüm AVF hastalarında cerrahi tedavi endikasyonu vardır. Cerrahi tedavinin gerekliliği ve zamanın saptanması AVF'nin yerleşim yerine, büyüklüğüne ve lokal ve sistemik etkilerine bağlıdır. Geniş ve travma sonrası oluşan AVF'lerde cerrahi tedavi en kısa sürede uygulanmalıdır. Anah tar söz cük ler: Arteriyovenöz fistül; ateşli silah yaralanması; vasküler cerrahi. Background: In this study, we aim to present our surgical experience in seven patients who were operated for arteriovenous fistula (AVF) induced by gunshot injury. Methods: Seven patients, who developed AVF as a result of gunshot injury and were operated at our clinic between November 2011 and August 2012, were included in this study. The patients were retrospectively evaluated in terms of injured body area, the timing of surgery, and surgical procedures performed. Results: Arteriovenous fistula was in the lower extremity in six patients (85.71%), and in the upper extremity in one patient (14.29%). In lower extremity, AVF was present between popliteal artery and popliteal vein in four patients, and between femoral artery and femoral vein in two patients. In upper extremity, AVF was located between brachial artery and cephalic vein. We performed primary repair of the artery and vein in four patients, graft interposition to artery and primary repair of vein in two patients, and graft interposition to artery and vein in one patient. Dacron graft was used for all patients. Conclusion: In penetrating injuries near major vascular structures, anamnesis and physical examinations should be conducted carefully, and auscultation should not be neglected. Indications for surgical treatment are present in all AVF patients. The requirement and timing of surgical treatment depend on the location and dimension, and the local and systemic effects of AVF. In large and post-traumatic AVFs, surgical treatment should be performed as early as possible.

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Arteriovenous fistula: A rare complication of arterial puncture for cardiac catheterization

Cited by 39 publications

References 5 publications

Vascular Complications of Percutaneous Femoral Cardiac Interventions

Vascular Complications of Percutaneous Femoral Cardiac Interventions

Physical examination and echo doppler study in the assessment of femoral arterial complications following cardiac catheterization

Our vascular surgical experience in arteriovenous fistula induced by gunshot injury

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