medigraphic.com
Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2006, Number 4

<< Back Next >>

Rev Mex Angiol 2006; 34 (4)

Iatrogenic arteriovenous fistula and concomitant anterior tibial pseudoanerysm

Sánchez N, Cal y Mayor I, Meza M, Serrano J, Cossío A, Rosas M, Flores M, Anaya B, González R

Language: Spanish
References: 12
Page: 161-165
PDF size: 176.13 Kb.


ABSTRACT

Iatrogenic arteriovenous fistulas are the result of a diagnostic or therapeutic intervention. It is common to find them in association with pseudoaneurysm.
We present the case of a patient who developed an anterior tibial arteriovenous fistula and pseudoaneurysm secondary to arthrodesis of the right ankle. The patient underwent surgical treatment with resection of the pseudoaneurysm and repair of the anterior tibial artery with vein graft.
The arterial lesions secondary to orthopedic procedures have been reported but they are possibly under diagnosed, and therefore the small number of series published. Their recognition requires the diagnostic suspicion and will be influenced by the severity of its signs and symptoms, consequently they may be diagnosed until months or years after the procedure that caused them. Their treatment can be undertaken by surgical or minimally invasive approaches.


REFERENCES

  1. Hijeusky N, et al. Popliteal traumatic arteriovenous fistulas. J Trauma 2002; 52(4): 739-44.

  2. Shay F, et al. Multiple sequential posttraumatic pseudoaneurysms following high energy injuries: case report and review of the literature. J Orthopedic Trauma 2002; 16(7): 520-2.

  3. Rowe VL, Salim A, Lipham J, Asensio JA. Shank vessel injuries. Surg Clin North Am 2002; 82(1): 91-104.

  4. Weaver FA, Papanicolaou G, Yellin AE. Difficult peripheral vascular injuries. Surg Clin North Am 1996; 76(4): 843-59.

  5. Oweida SW, Roubin GS, Smith RB, Salam AA. Postcatheterization vascular complications associated with percutaneous transluminal coronary angioplasty. J Vasc Surg 1990; 12(3): 310-5.

  6. O’Brien SP, Simoni EJ, Jain KM, Munn JS. Arteriovenous fistula and pseudoaneurysm formation following heel endoscopy. Eur J Vasc Endovasc Surg 1997; 13(2): 240-1.

  7. Paul MA, Patka P, Van Heuzen EP, Koomen AR, Rauwerda J. Vascular injury from external fixation: case reports. J Trauma 1992; 33(6): 917-20.

  8. Lord R, Irani C. Assessment of arterial injury in limb trauma. J Trauma 1974; 14: 1042–53.

  9. Wolford H, Peterson S, Ray C, Morgan S. Delayed arteriovenous. Fistula and pseudoaneurysm after an open tibial fracture successfully managed with selective angiographic embolization. J Trauma 2001; 51: 781-3.

  10. Paulson EK, Sheafor DH, Kliewer MA, et al. Treatment of iatrogenic femoral arterial pseudoaneurysms: comparison of US-guided thrombin injection with compression repair. Radiology 2000; 215: 403-8.

  11. Ghersin E, Karram T, Gaitini D, Ofer A, Nitecki S, Schwarz H, et al. Percutaneous Ultrasonographically Guided Thrombin Injection of Iatrogenic Pseudoaneurysms in Unusual Sites. J Ultrasound Med 2003; 22: 809-16.

  12. De Roo, Steenvoorde, Schuttevaer, den Outer, Oskam, Hedeman Joosten. Exclusion of a Crural Pseudoaneurysm With a PTFE-Covered Stent-Graft. J Endovasc Ther 2004; 11: 344-7.




2020     |     www.medigraphic.com