Document Detail

Arteriovenous fistula after endovenous laser treatment of the short saphenous vein.
MedLine Citation:
PMID:  15178724     Owner:  NLM     Status:  MEDLINE    
Reports of major complications from endovenous laser treatment of saphenous veins with use of perivenous tumescent anesthesia are very rare. The author reports a major complication of endovenous laser treatment, the creation of an arteriovenous (AV) fistula. The fistula was created between the short saphenous vein (SSV) and the superficial sural artery in the popliteal fossa during endovenous laser treatment of the SSV. The proximity of the superficial sural artery and the SSV in the popliteal fossa increases the risk of fistula formation. Color-flow Doppler ultrasonography can demonstrate potentially dangerous anatomic relationships between the vein segment intended for treatment and adjacent arteries. Recognition of these relationships should increase the operator's ability to minimize the risk of AV fistula formation.
Paul E Timperman
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  15     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-04     Completed Date:  2004-09-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  625-7     Citation Subset:  IM    
Arnett Clinic, 2600 Greenbush Avenue, Lafayette, Indiana 47904, USA.
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MeSH Terms
Arteriovenous Fistula / etiology*,  therapy
Embolization, Therapeutic
Laser Therapy / adverse effects*
Leg / blood supply*
Middle Aged
Saphenous Vein* / surgery,  ultrasonography
Ultrasonography, Doppler, Color
Varicose Veins / surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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