Surgical repair of femoral arteriovenous fistulas following cardiac catheterization successfully relieved symptoms of edema and pain, allowing discharge without complications.
Case Report (n=2)
Surgical repair of iatrogenic femoral arteriovenous fistulas following cardiac catheterization successfully relieves symptoms and allows for safe discharge.
An arteriovenous fistula (AVF) is a vascular malformation with a direct communication between an artery and a vein and can lead to bleeding, thromboembolic events, aneurysm formation or heart failure. AVF is a rare but potentially harmful complication of cardiac catheterization. The sites of associated artery and vein are important for surgical exposure. We report two cases of femoral AVFs following diagnostic cardiac catheterizations with rather interesting extensions, originating from right deep femoral arteries and draining into right superficial femoral veins in both cases. The tracks were divided and the defects on deep femoral arteries and superficial femoral veins were primarily sutured. Symptoms of the patients, which were mainly edema and pain, relieved after surgeries. Both the patients were discharged without any complications. During cardiac catheterization, the cardiologist should master the anatomy of the femoral puncture site to avoid the complications which can be hazardous and life-threatening such as AV fistula.
Bozgüney et al. (Tue,) conducted a case report in Femoral arteriovenous fistula following cardiac catheterization (n=2). Surgical repair (division of tracks and primary suture) was evaluated on Symptom relief and discharge without complications. Surgical repair of femoral arteriovenous fistulas following cardiac catheterization successfully relieved symptoms of edema and pain, allowing discharge without complications.