Iatrogenic Arteriovenous Fistula Formation after Endovenous Laser Treatment Resulting in High-output Cardiac Failure: A Case Report and Review of the Literature.
Ann Vasc Surg
; 72: 666.e13-666.e21, 2021 Apr.
Article
em En
| MEDLINE
| ID: mdl-33346123
ABSTRACT
Formation of a clinically significant iatrogenic arteriovenous fistula after endovenous laser treatment of the great saphenous vein is an extremely rare complication. Because of the infrequency of reported cases, there is no clear consensus on how to best manage this complication. We present a unique case of an iatrogenic high-output superficial femoral artery-common femoral vein fistula resulting in right heart failure and a distal deep vein thrombosis. Deployment of a covered arterial stent graft resulted in resolution of the arteriovenous fistula and high-output cardiac state. Clinically significant arteriovenous fistulas resulting from inadvertent vessel injury during endovenous laser treatment appear to be amenable to percutaneous endovascular interventions. During these challenging endovascular cases, intravascular ultrasonography can be used to help delineate the morphology of the fistula tract and obtain vessel measurements to ensure accurate endoprosthesis sizing and placement.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Veia Safena
/
Úlcera Varicosa
/
Insuficiência Venosa
/
Fístula Arteriovenosa
/
Débito Cardíaco Elevado
/
Terapia a Laser
/
Lesões do Sistema Vascular
/
Insuficiência Cardíaca
/
Doença Iatrogênica
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Ann Vasc Surg
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Canadá