Arteriovenous fistulae complicating central venous catheterization: Value of endovascular treatment based on a series of seven cases

Abstract

Endovascular approach is a reliable and safe method to perform occlusion of post catheter AVF.

An opacity in the chest following a subclavian catheterization

“…In a series of seven patients, RICOLFI et al [9] achieved success in all seven. Only one case needed a combination of surgery and embolization and for the six others endovascular embolization alone was sufficient to close the fistula.…”

“…Only 37 documented cases have been reported up to now [9] and their incidence seems to be near to 0.03% of the subclavian catheterizations [10]. Their location is asymmetrical: 30 of the 37 were located on the right side due to a different anatomical configuration.…”

“…However, in these two studies, the search for AVF was not systematic, which may explain why no cases were reported. Some authors [9,10,13] recommend that the subclavian area must be auscultated during the 2 weeks following any difficult subclavian catheterization, so as to look for any murmur with systolic reinforcement revealing an AVF, which would make it possible to evaluate their frequency more accurately. Three cases of AVF are reported by HANSBROUGH et al [13], two of which occurred following an internal jugular venous catheterization, the other one following a subclavian venous cathe-terization.…”

Rupture of pulmonary artery induced by Swan-Ganz catheter: success of coil embolization

“…To our knowledge, this is the first case reported of successful treatment with steel coil embolization. Steel coil embolization is a well-known technique with is safe, quick and precise when performed in various types of life-threatening haemorrhage [5][6].…”

Arteriovenous malformation manifested after subclavian central venous catheterization

“…To the best of our knowledge, this is the first report of AVM that manifested after CVC, though CVC occasionally causes AVF. 5 …”