Femoral arteriovenous fistula after placement of a Kimray-Greenfield filter

Ma, Bettmann; Rogoff, P; Reagan, Kathleen; Harrington, Donald P.

doi:10.2214/ajr.151.4.681

Cited by 16 publications

(4 citation statements)

References 4 publications

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“…Accidental femoral artery puncture is a recognised complication of femoral venous access and this may occur in up to 10% of procedures [3, 4]. Arterial puncture can be complicated by peri‐arterial haematoma formation [5], arterio‐venous fistulas [6, 7], pseudoaneurysms, thrombosis and haemorrhage [8].…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography of the femoral vessels in the groin: implications for vascular access

Hughes¹,

Scott²,

Bodenham

2000

Anaesthesia

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The femoral artery and vein are commonly used for access to the circulation. Accidental puncture of one vessel whilst attempting to cannulate the other is a common complication. Identification of relevant surface anatomical landmarks and ultrasonography of both groins was performed on 50 consecutive adult patients admitted to the intensive care unit. In most patients there was overlap of the artery over the vein far closer to the inguinal ligament than conventional anatomical texts would indicate. The frequency and degree of overlap increased as the vessels descended distally towards the knee. Surface anatomical landmarks were not useful in predicting the underlying anatomy. The side‐by‐side relationship of artery and vein is commonest close to the inguinal ligament. Therefore, to avoid damage to the neighbouring vessel, percutaneous access should be undertaken just below the inguinal ligament.

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Section: Discussionmentioning

confidence: 99%

Ultrasonography of the femoral vessels in the groin: implications for vascular access

Hughes¹,

Scott²,

Bodenham

2000

Anaesthesia

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“…[7][8][9][10][11][12][13] However, the safety and outcomes of short-term multiple sheath placement for EPS and RF ablation therapy are still unknown and need to be investigated. DVT not related to multiple sheath placement has been reported to be able to remodel, progress, or regress.…”

mentioning

confidence: 99%

Safety and Outcomes of Short-Term Multiple Femoral Venous Sheath Placement in Cardiac Electrophysiological Study and Radiofrequency Catheter Ablation

et al. 2004

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SUMMARYMultiple intracardiac catheters are often necessary for electrophysiological study (EPS) and radiofrequency (RF) ablation therapy. Therefore, multiple venous sheath placement in one femoral vein is always required for multiple intracardiac catheter insertion. The vascular complications incurred by placement of multiple sheaths have not been fully studied. We utilized duplex ultrasonography to assess the femoral veins before and after the procedure. This study consisted of 52 patients (68 femoral veins) who underwent EPS and RF ablation therapy. Up to three sheaths were inserted into a single femoral vein. Nonocclusive deep vein thrombosis (DVT) occurred in 12/68 veins (17.6%) of 11 patients on the day following the procedure. Thrombosis regressed spontaneously in 11 veins and persisted in 1 vein at 1-week follow-up. The venous diameter significantly decreased the day after the procedure (8.7 ± 1.2 mm vs 5.3 ± 1.5 mm, P < 0.001), but recovered by the 1-week follow-up (7.9 ± 1.7 mm, P = 0.07) in the 12 veins. Short-term placement of multiple venous sheaths in a single femoral vein appears to be safe. Nonetheless, nonocclusive DVT does occur in a significant number of patients. Although thrombosis regressed and the outcome appeared to be benign in most patients, close follow-up to avoid potential vascular complications is necessary. (Jpn Heart J 2004; 45: 257-264)

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“…This complication may happen upto 10% of patients undergoing femoral venous access [10,11]. This can be complicated with periarterial hematoma [12], pseudo aneurysm, arteriovenous fistula [13,14], thrombosis and haemorrhage [15]. Complications related to femoral arterial puncture for any therapeutic procedure varies between 0.11% to 0.47% [16].…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic analysis of the anatomical relationship between femoral vessels in the upper part of thigh in critically ill patients– a cross sectional study

et al. 2018

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Objective: Femoral vessels are one of the frequently used sites of cannulation in intensive care units. In resource limited settings cannulations are done blindly without ultrasonographic guidance based on a traditional belief that in the upper thigh vein keeps a medial relationship to artery. In this trial we tried to analyse the anatomical relationship of femoral vein to femoral artery using ultrasound in critically ill patients. Methods: This cross sectional study analysed the anatomical relationship of femoral vein to femoral artery at 2cm, 4 cm and 6 cm from the mid inguinal point in both thighs of the patients using ultrasonography. The study was done among patients admitted in a multidisciplinary intensive care unit. Results: Three hundred limbs of one hundred and fifty patients were analysed by ultrasonography. A total of 900 measurements were taken at three different levels of both legs. At 2 cm below the mid inguinal point, in 256 limbs (85.3%) femoral vein was medial to femoral artery (95% Confidence Interval82.82% to 89.14%), at 4 cm below the mid inguinal point, in 210 limbs (70%) femoral vein was posteromedial to femoral artery (95% CI64.47% to 75.13%), and at6 cm below the mid inguinal point in 200 limbs (66.7%) femoral vein was posterior to femoral artery (95% CI 61.02% to 71.98%). Conclusion: Femoral vein showed variable relationship to femoral artery in the upper part of the thigh. As the distance increased from mid inguinal point, variation from normal relationship was also found to be increasing.

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Femoral arteriovenous fistula after placement of a Kimray-Greenfield filter

Cited by 16 publications

References 4 publications

Ultrasonography of the femoral vessels in the groin: implications for vascular access

Ultrasonography of the femoral vessels in the groin: implications for vascular access

Safety and Outcomes of Short-Term Multiple Femoral Venous Sheath Placement in Cardiac Electrophysiological Study and Radiofrequency Catheter Ablation

Ultrasonographic analysis of the anatomical relationship between femoral vessels in the upper part of thigh in critically ill patients– a cross sectional study

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