Document Detail

Arterio-venous fistula following endovenous laser ablation for varicose veins.
MedLine Citation:
PMID:  19524461     Owner:  NLM     Status:  MEDLINE    
Endovenous laser ablation (EVLA) obliterates incompetent truncal veins as an alternative to varicose veins surgery. We describe 3 patients who developed an arterio-venous fistula (AVF) following great (GSV: 1) or small (SSV: 2) saphenous vein EVLA. Two fistulae closed spontaneously with conservative management. Concomitant venous and arterial wall thermal injury or needle trauma during administration of tumescent anaesthesia may cause this rare complication. Haemodynamic effects appear minimal and spontaneous closure is likely, supporting a non-interventional policy.
N S Theivacumar; M J Gough
Publication Detail:
Type:  Journal Article     Date:  2009-06-12
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  38     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-20     Completed Date:  2009-08-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  234-6     Citation Subset:  IM    
Leeds Vascular Institute, The General Infirmary at Leeds, Leeds LS1 3EX, UK.
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MeSH Terms
Arteriovenous Fistula / etiology*,  ultrasonography
Laser Therapy / adverse effects*
Middle Aged
Saphenous Vein / surgery*
Treatment Outcome
Ultrasonography, Doppler
Varicose Veins / surgery*

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