Traumatic brachial arteriovenous fistula

Ayub, Adil; Adnan, Sareema H.; Fankhauser, Grant T.; Bowen-Jallow, Kanika A.; Tran, Sifrance

doi:10.1016/j.epsc.2019.101286

Cited by 1 publication

(8 citation statements)

References 10 publications

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“…Use of Doppler ultrasonography for making the initial diagnosis of arteriovenous fistulae, confirmation with CT angiography, management with surgical closure, and endovascular procedures or stenting of these lesions are described elsewhere in the literature. 3,8,9,12 A comprehensive preoperative history and examination are essential in children to diagnose these lesions as they may have implications for perioperative management. In our case, we decided to just monitor the fistulae because the patient was asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

“…Asymptomatic acquired arteriovenous fistulae are very uncommon in children. 9 Though their incidence in children is between 0.03% and 0.3% from various sources, the true incidence of this condition is unknown. 3,10 Growing evidence, mainly in the form of case reports and small case series, describe iatrogenic pediatric arteriovenous fistulae of the lower extremities.…”

Section: Discussionmentioning

confidence: 99%

“…2–6 Only a few reports describe upper extremity arteriovenous fistulae in children, formed after multiple attempts at venipuncture, for hemodialysis, and due to trauma after a projectile injury. 8–11…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6] Only a few reports describe upper extremity arteriovenous fistulae in children, formed after multiple attempts at venipuncture, for hemodialysis, and due to trauma after a projectile injury. [8][9][10][11] The pathophysiology of iatrogenic arteriovenous fistulae is from penetrating injury to the involved vein and artery in continuity, for example, a needle penetrating both the vessels along a single track, causing their communication, which heals with subsequent fibrosis thus forming a fistulous tract. 8,10 Owing to their rarity, they can go unnoticed by clinicians, persist without symptoms for a long period, and may be discovered only incidentally.…”

Section: Discussionmentioning

confidence: 99%

“…Fistulae in the upper and lower extremities in children secondary to multiple attempts to establish vascular access, or due to trauma, have been reported in the literature. 2–9…”

mentioning

confidence: 99%

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Intraoperative Diagnosis of Bilateral Upper Limb Arteriovenous Fistulae in a Child: A Case Report

Trivedi,

Chawathey,

Pinjari

et al. 2023

A&A Practice

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Arteriovenous fistulae have not been extensively reported in pediatric patients and are rare for pediatric anesthesiologists to encounter in their routine practice. Awareness of these lesions enables clinicians to avoid giving medications through the anomalous vascular connections. We report a child scheduled for an excision of a sacrococcygeal mass in whom we incidentally diagnosed the presence of arteriovenous fistulae in both his upper limbs. The affected limbs should be avoided and the vessels of the lower limbs should be cannulated for administration of fluid and medications during surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Fistulae in the upper and lower extremities in children secondary to multiple attempts to establish vascular access, or due to trauma, have been reported in the literature. 2–9…”

mentioning

confidence: 99%

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