Popliteal Traumatic Arteriovenous Fistulas

Abstract

Trauma of the popliteal space requires special attention, since blood vessel injuries in that zone might result in serious complications. Popliteal traumatic AVFs result in a high rate of leg amputation and long-standing fistulas produce cardiac overload. The presence of thrill and bruit over the injury site should alert the examiner to consider the existence of AVF. Angiography is a reliable diagnostic tool, and should be used in all vitally stable patients. Surgical or nonsurgical closure of AVF will prevent local and systemic complications that might be irreversible in long-standing fistulas.

Endovascular repair of post-traumatic, concomitant popliteal artery pseudoaneurysm and arteriovenous fistula

“…Open surgical intervention has been the primary therapeutic option for pseudoaneurysms and arteriovenous fistulas. Options for repair have included resection with either end-toend anastomosis or interposition grafting, commonly with reverse saphenous vein grafts, or by ligation of the vessel and bypass grafting with a synthetic graft (10). Reported complications after open pseudoaneurysm repair include infection, graft occlusion and venous thrombosis (5).…”

A Rare Etiology of Heart Failure: Traumatic Arteriovenous Fistula Due to Stab Injury 17 Years Ago

“…Post-traumatic fistula should be surgically closed as early as possible (5). Untreated fistulas may lead to complications such as high-output heart failure (50%) and rennin dependent hypertension (40%).…”

Popliteal pseudoaneurysm and arteriovenous fistula after acupuncture

“…An autologous vein should be used when resecting the false aneurysm or performing direct in-lay grafting, as this will not kink or occlude For the treatment of popliteal arteriovenous fistula, surgical procedures such as partial resection, ligation, and primary reconstruction with end-to-end anastomosis are frequently used options [18]. If primary repair is not feasible without undue tension, a short graft may be fashioned by using reversed autogenous greater saphenous vein.…”