Iatrogenic tibial arteriovenous fistula after Fogarty balloon catheter graft thrombectomy

Spyros Papadoulas; Konstantinos Moulakakis; Natasa Kouri; Francesk Mulita; Andreas Tsimpoukis; Charalampos Seretis; Panagiotis Kitrou; Konstantinos Katsanos; Stavros K Kakkos

doi:10.1002/ccr3.5050

Iatrogenic tibial arteriovenous fistula after Fogarty balloon catheter graft thrombectomy

Clin Case Rep. 2021 Nov 9;9(11):e05050. doi: 10.1002/ccr3.5050. eCollection 2021 Nov.

Authors

Spyros Papadoulas¹, Konstantinos Moulakakis¹, Natasa Kouri¹, Francesk Mulita², Andreas Tsimpoukis¹, Charalampos Seretis¹, Panagiotis Kitrou³, Konstantinos Katsanos³, Stavros K Kakkos¹

Affiliations

¹ Department of Vascular Surgery University of Patras Medical School Patras Greece.
² Department of Surgery University of Patras Medical School Patras Greece.
³ Department of Radiology University of Patras Medical School Patras Greece.

Abstract

A 75-year-old male presented with an immediately threatened grade IIb acute ischemia of the left leg due to thrombosis of a femoro-infrapopliteal prosthetic bypass graft. After an urgent Computed Tomography Angiography, an urgent graft thrombectomy was performed using a 5 Fr Fogarty catheter, which had a troublesome distal passage, causing a tibial A-V fistula.

Keywords: arteriovenous fistula; fogarty thrombectomy; graft thrombectomy; iatrogenic injury.