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      Call for Papers: Green Renal Replacement Therapy: Caring for the Environment

      Submit here before July 31, 2024

      About Blood Purification: 3.0 Impact Factor I 5.6 CiteScore I 0.83 Scimago Journal & Country Rank (SJR)

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      Conservative Management of an Iatrogenic Arteriovenous Fistula

      case-report

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          Abstract

          Background

          Arteriovenous fistula is an uncommon complication of central venous catheterization that often requires invasive repair.

          Case Report

          We report the case of an arteriovenous fistula that presented as ongoing pain following removal of a tunneled central venous catheter. The fistula resolved spontaneously following a period of compression and observation.

          Conclusion

          Our study highlights the etiology of this uncommon complication as well as suggesting a role for conservative management.

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          Most cited references16

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          Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature.

          C Gonzales, Gwendalyn J. Randolph, C Pribble … (1996)
          To evaluate the effect of real-time ultrasound guidance using a regular or Doppler ultrasound technique for placement of central venous catheters. We searched for published and unpublished research using MEDLINE, citation review of relevant primary and review articles, conference abstracts, personal files, and contact with expert informants. From a pool of 208 randomized, controlled trials of venous and arterial catheter management, eight published randomized, controlled trials were identified. In duplicate, independently, we abstracted data on the population, intervention, outcome, and methodologic quality. Ultrasound guidance significantly decreases internal jugular and subclavian catheter placement failure (relative risk 0.32; 95% confidence interval 0.18 to 0.55), decreases complications during catheter placement (relative risk 0.22; 95% confidence interval 0.10 to 0.45), and decreases the need for multiple catheter placement attempts (relative risk 0.60; 95% confidence interval 0.45 to 0.79) when compared with the standard landmark placement technique. When used for vessel location and catheter placement real-time, ultrasound guidance or Doppler ultrasound guidance improves success rates and decreases the complications associated with internal jugular and subclavian venous catheter placement.
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            Ultrasound guidance for placement of central venous catheters

            Adrienne G Randolph, Deborah Cook, Calle Gonzales … (1996)
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              A prospective study of the incidence and natural history of femoral vascular complications after percutaneous transluminal coronary angioplasty.

              Timothy F. Kresowik, Michael D Khoury, Brian Miller … (1991)
              Over a 14-month period patients undergoing 144 percutaneous transluminal coronary angioplasty procedures were evaluated for the presence of complications at the femoral puncture site. After percutaneous transluminal coronary angioplasty each patient was examined by a surgeon, and then a color-flow duplex scan of the groin was obtained. On the initial scan eight pseudoaneurysms, three arteriovenous fistulas, one combined arteriovenous fistula-pseudoaneurysm, and one thrombosed superficial femoral artery were detected for a major vascular complication rate of 9%. Pseudoaneurysm formation was associated with the use of heparin after removal of the arterial sheath. Seven pseudoaneurysms (initial extravascular cavity size range 1.3 to 3.5 cm) were followed with weekly duplex scans, and all thrombosed spontaneously within 4 weeks of detection. The three patients with isolated arteriovenous fistulas were each followed for at least 8 weeks, and the arteriovenous fistulas persisted. Early surgical intervention for postcatheterization femoral pseudoaneurysms is usually unnecessary as thrombosis often occurs spontaneously. We would advocate an operative approach for pseudoaneurysms that are symptomatic, expanding, or associated with large hematomas. Iatrogenic femoral arteriovenous fistulas should be considered for elective repair, but this may be delayed for several weeks without adverse sequelae.
              Article 0 comments Cited 30 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Nephron Extra
                Journal ID (iso-abbrev): Nephron Extra
                Journal ID (publisher-id): NNE
                Title: Nephron Extra
                Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch )
                ISSN (Print): 1664-5529
                ISSN (Electronic): 1664-5529
                Publication date Collection: Sep-Dec 2014
                Publication date (Electronic): 3 October 2014
                Publication date PMC-release: 3 October 2014
                Volume: 4
                Issue: 3
                Pages: 155-158
                Affiliations
                [1] aDepartment of Medicine, University of Calgary, Calgary, Alta., Canada
                [2] bDivision of Nephrology, Department of Medicine, University of Calgary, Calgary, Alta., Canada
                Author notes
                *Dr. Stefan Mustata, 7007 14 St SW, Calgary, AB T2V 1P9 (Canada), E-Mail smustata@ 123456ucalgary.ca
                Article
                Publisher ID: nne-0004-0155
                DOI: 10.1159/000366451
                PMC ID: 4224231
                SO-VID: b2584b3d-63cc-44bd-b0a1-5a8e71954bb8
                Copyright © Copyright © 2014 by S. Karger AG, Basel
                License:

                This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.

                History
                Page count
                Figures: 1, References: 13, Pages: 4
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Nephrology
                Keywords: arteriovenous fistula,catheter,catheterization,complications,fistula
                Data availability:
                ScienceOpen disciplines: Nephrology
                Keywords: arteriovenous fistula, catheter, catheterization, complications, fistula

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