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
in 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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Saphenous Vein
/
Varicose Ulcer
/
Venous Insufficiency
/
Arteriovenous Fistula
/
Cardiac Output, High
/
Laser Therapy
/
Vascular System Injuries
/
Heart Failure
/
Iatrogenic Disease
Type of study:
Etiology_studies
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Ann Vasc Surg
Journal subject:
ANGIOLOGIA
Year:
2021
Document type:
Article
Affiliation country:
Canadá