Iatrogenic high-flow femoral AV-fistula – A clinical case

Arteriovenous fistula (AVF) was first described in medicine by William Hunter in 1757, followed by the first surgical attempt at its correction in 1837 by Breschet, who attempted to eliminate the fistula by ligation of the proximal artery. As minimally invasive procedures and the wide variety of endovascular devices have increased, so have post-procedural complications. Post-procedural arteriovenous fistula in the inguinal region is a relatively rare complication, which in its evolution could lead to congestive heart failure and changes in tissue perfusion of the lower limb due to the direct passage of blood from the arterial to the venous system.