An unusual case of femoral arteriovenous fistula associated with acute limb ischemia following femoral vein catheterization for hemodialysis

被引：2

作者：

Gooneratne, Thushan ^{[1
]}

Chanaka, Kankam Arrachchige Nuwan ^{[2
]}

Wijeyaratne, Serosha Mandika ^{[1
]}

机构：

[1] Univ Colombo, Surg & Head Dept, Colombo, Sri Lanka

[2] Post Grad Inst Med, Postgrad Trainee Vasc Surg, Colombo, Sri Lanka

来源：

JORNAL VASCULAR BRASILEIRO | 2022年 / 21卷

关键词：

vascular access devices; dialysis; femoral artery; ischemia; arteriovenous fistula; vascular surgical procedures;

D O I：

10.1590/1677-5449.202101992

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Co-occurrence of acute limb ischemia (ALI) and arteriovenous fistula (AVF) as a manifestation of inadvertent arterial injury during percutaneous femoral vein dialysis catheter insertion is a rare and dangerous, but preventable complication. Iatrogenic femoral AVF commonly presents late, with leg swelling or high output cardiac failure. However, the co-occurrence of a femoral AVF with both progressive leg swelling, and acute thromboembolism has not been previously reported. We report the case of an iatrogenic femoral AVF with superficial femoral artery (SFA) thrombosis and distal embolism in a 53-year-old female who underwent percutaneous femoral access for temporary hemodialysis. Both the SFA and AVF were managed with open surgical repair.

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页数：4

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