A Unique Case of Iatrogenic Femoral Arteriovenous Fistula associated with Deep Vein Thrombosis after Electrophysiological Procedure in a Kidney Transplanted Patient

Ann Vasc Surg. 2020 May:65:282.e5-282.e8. doi: 10.1016/j.avsg.2019.11.042. Epub 2019 Dec 18.

Abstract

Iatrogenic femoral arteriovenous fistulas (AVFs) and deep venous thrombosis (DVT) can complicate femoral artery catheterization procedures. However, the co-occurrence of both is rare. We report the unique case of AVF with DVT, which occurred in the right femoral vessels of a 59-year-old man with a right iliac fossa kidney transplant, after percutaneous puncture for cardiac catheterization. Duplex ultrasound examination and computed tomography venography scan confirmed the diagnosis. Both the AVF and the DVT were managed surgically.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / etiology*
  • Arteriovenous Fistula / surgery
  • Catheter Ablation / adverse effects*
  • Catheterization, Peripheral / adverse effects*
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / injuries*
  • Femoral Artery / surgery
  • Femoral Vein / diagnostic imaging
  • Femoral Vein / injuries*
  • Femoral Vein / surgery
  • Humans
  • Iatrogenic Disease*
  • Kidney Transplantation*
  • Male
  • Middle Aged
  • Stockings, Compression
  • Treatment Outcome
  • Vascular Surgical Procedures
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology*
  • Vascular System Injuries / surgery
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / etiology*
  • Venous Thrombosis / therapy

Substances

  • Anticoagulants