Endovascular treatment of a large iatrogenic popliteal arteriovenous fistula

Ying, Andrew; Al-Asady, Rafid; Vicaretti, Mauro

doi:10.1016/j.jvscit.2019.10.010

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…It is highlighted that without repair, complications may include symptomatic venous congestion with subsequent venous ulceration, venous thromboembolism, arterial steal, and rarely high-output cardiac failure. 5 AVFs are usually asymptomatic, but as demonstrated in this case report, arteriovenous fistulas may become clinically significant years after formation. This occurs when the fistulous tract grows to a size that affects hemodynamics.…”

Section: Discussionmentioning

confidence: 68%

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Endovascular Treatment of a Forty-Year-Old Post-Traumatic Knee Arteriovenous Fistula

Theodoridis,

El Kanty,

Kourampi

et al. 2024

Vasc Endovascular Surg

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Arteriovenous fistulas (AVFs) of the lower extremity are uncommon. The main causes are traumatic or iatrogenic, with 15% of traumatic AVFs occurring in the popliteal vessels. Herein, we present a 60-year–old female with a traumatic AVF caused after a car accident 40 years ago. The patient presented with right leg venous claudication and symptoms of congestive heart failure. Duplex ultrasound of lower limb vessels revealed an AVF at the distal part of the tibiofibular trunk. The patient was successfully managed with an endovascular approach using a coil-assisted covered endovascular repair technique of the tibiofibular bifurcation (CERTIFIB) with excellent results and distal vessels patency. At 3 months follow-up, patient presented with an impressive regression of 3 cm of the lower extremity oedema and improvement of both claudication and heart failure.

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Section: Discussionmentioning

confidence: 68%

“…4,6 In the literature, several treatment options have been described with the endovascular repair being the first-line strategy. 2,5 Although endovascular treatment is the gold standard, there is no standardize technique for such rare conditions. The main reason for this, is the location of the AVF among different reports.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of a Forty-Year-Old Post-Traumatic Knee Arteriovenous Fistula

Theodoridis,

El Kanty,

Kourampi

et al. 2024

Vasc Endovascular Surg

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“…A previous case report has described the treatment of pseudoaneurysm of the popliteal artery by implantation of a VIABAHN® [4]. Another report described the treatment of a pseudoaneurysm of the DFA with VIABAHN® implantation [5].…”

Section: Discussionmentioning

confidence: 99%

VIABAHN® Stent Graft Implantation for Iatrogenic Arteriovenous Fistula and Pseudoaneurysm of the Deep Femoral Artery

Yamazaki,

Fujihashi,

Amamizu

et al. 2024

Case Reports in Cardiology

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Femoral arteriovenous access is most commonly used in endovascular diagnosis and treatment. Complications arising during femoral arteriovenous access include hematoma, retroperitoneal hemorrhage, pseudoaneurysm, and arteriovenous fistula. A 66-year-old woman diagnosed with paroxysmal atrial fibrillation was treated with catheter ablation. This patient had a high femoral artery bifurcation, and we punctured the femoral vein by the conventional Merkmal method, which led to a femoral vein puncture through the deep femoral artery. The next day, echography revealed a pseudoaneurysm communicating with the deep femoral artery. We performed a thrombin injection without complication, and the pseudoaneurysm was occluded. However, echography three days after thrombin embolization showed a recurrence of the pseudoaneurysm and an arteriovenous fistula connecting to the common femoral vein. The first choice for the treatment of pseudoaneurysms and arteriovenous fistula is surgical treatment, but in addition to the lack of vascular surgery in our hospital, the patient did not want an invasive treatment and strongly preferred to be treated with a catheter. We performed endovascular treatment by VIABAHN® stent graft insertion. VIABAHN® stent graft was implanted at the deep femoral artery, and the patient was discharged without complications. VIABAHN® stent graft placement in the deep femoral artery sealed the entrance of the pseudoaneurysm and the arteriovenous fistula at once, which simultaneously treated both the pseudoaneurysm and AV fistula, and helped avoid the use of an invasive surgical procedure.

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“…4 Prompt diagnosis and treatment of PAF are important to reduce the risk of deep vein thrombosis, post-thrombotic syndrome, distal embolization, limb loss, and pulmonary embolism, especially if in association with a venous aneurysm. 4,5 Here, we report the case of a spontaneous arteriovenous fistula associated with a venous aneurysm in a patient without previous history of trauma or connective tissue disorders. We will discuss its etiologies and the evidence regarding endovascular management for this condition.…”

Section: Introductionmentioning

confidence: 97%

“…Prompt diagnosis and treatment of PAF are important to reduce the risk of deep vein thrombosis, post-thrombotic syndrome, distal embolization, limb loss, and pulmonary embolism, especially if in association with a venous aneurysm. 4,5…”

Section: Introductionmentioning

confidence: 99%

Endovascular Repair of a Spontaneous Popliteal Arteriovenous Fistula Associated With a Venous Aneurysm

Gómez-Galán

Velandia-Sánchez

Sanabria-Arévalo

et al. 2022

Vasc Endovascular Surg

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Popliteal arteriovenous fistulae (PAF) are anomalous communications between the arterial and venous systems of the lower extremity. They are usually secondary to trauma and are rarely associated with additional vascular defects. The coexistence of a PAF and a venous aneurysm is rare and usually occurs in patients with connective tissue disorders. Evidence regarding the management of this type of anomaly is scarce. However, both open and endovascular approaches seem feasible alternatives for treating this condition. Here, we describe a spontaneous popliteal arteriovenous fistula associated with a venous aneurysm in a 42-year-old male patient who presented with a popliteal mass. Satisfactory endovascular closure of the fistula and exclusion of the venous aneurysm were achieved using an Amplatzer™ Vascular Plug II.

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Endovascular treatment of a large iatrogenic popliteal arteriovenous fistula

Cited by 3 publications

References 5 publications

Endovascular Treatment of a Forty-Year-Old Post-Traumatic Knee Arteriovenous Fistula

Endovascular Treatment of a Forty-Year-Old Post-Traumatic Knee Arteriovenous Fistula

VIABAHN® Stent Graft Implantation for Iatrogenic Arteriovenous Fistula and Pseudoaneurysm of the Deep Femoral Artery

Endovascular Repair of a Spontaneous Popliteal Arteriovenous Fistula Associated With a Venous Aneurysm

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