Document Detail


The occurrence of arterio-venous fistula during lower limb subintimal angioplasty: treatment and outcome.
MedLine Citation:
PMID:  16968667     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To describe our experience with iatrogenic arterio-venous fistula (AVF) occurring during lower limb subintimal angioplasty, their management and the final clinical, radiological outcome.
DESIGN: Retrospective review of case series from two centres, from a computerised database over a period of five years.
MATERIAL: Twelve patients whose lower limb subintimal angioplasty was complicated by Iatrogenic AVF.
RESULTS: The Majority of AVF occurred at the popliteal trifurcation vessels. And the incidence of this complication in our case series was 0.8%. This was managed with a variety of techniques-Coil embolisation, balloon tamponade, alternative dissection and stent placement. In one patient, the fistula was left open intentionally. All twelve patients had a successful angioplasty. The overall technical success rate for AVF ablation was eighty percent.
CONCLUSIONS: AVF is a potential complication of angioplasty. The majority can be managed by endovascular means during the angioplasty procedure with good technical success.
Authors:
G Ananthakrishnan; M DeNunzio; P Bungay; G Pollock; G Fishwick; A Bolia
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2006-09-11
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  32     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-10     Completed Date:  2007-01-11     Revised Date:  2010-12-01    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  675-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Derbyshire Royal Infirmary, Derby, DE1 2QY, UK. ananth_26@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angioplasty / adverse effects*,  methods
Arterial Occlusive Diseases / surgery*
Arteriovenous Fistula / epidemiology,  etiology*,  radiography,  therapy*
Balloon Dilation
Balloon Occlusion
Embolization, Therapeutic
Female
Femoral Artery / surgery
Humans
Iatrogenic Disease
Incidence
Ischemia / surgery*
Lower Extremity / blood supply*
Male
Medical Records Systems, Computerized
Popliteal Artery / surgery
Retrospective Studies
Stents
Time Factors
Treatment Outcome
Tunica Intima / surgery
Vascular Patency
Vascular Surgical Procedures

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


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