Iatrogenic arteriovenous fistula after endovenous mechanical thrombectomy

Percutaneous mechanical and aspiration thrombectomy techniques are increasingly being employed to treat acute iliofemoral deep venous thrombosis. Although procedural complications are rare, the incidence of inadvertent iatrogenic arteriovenous fistula (AVF) formation after endovenous mechanical thro...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-12, Vol.10 (6), p.101636, Article 101636
Main Authors: Caputo, Ben Christopher, Kirby, Lemuel
Format: Article
Language:English
Subjects:
Arteriovenous fistula
Case report
Endovenous mechanical thrombectomy
Iliofemoral deep venous thrombosis
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Summary:Percutaneous mechanical and aspiration thrombectomy techniques are increasingly being employed to treat acute iliofemoral deep venous thrombosis. Although procedural complications are rare, the incidence of inadvertent iatrogenic arteriovenous fistula (AVF) formation after endovenous mechanical thrombectomy remains unknown. Herein, we report the case of an 85-year-old morbidly obese female with multiple comorbidities referred for an edematous, cyanotic, and pulseless left lower extremity secondary to an iatrogenic femorofemoral AVF. The AVF was successfully treated via a unique through-and-through access technique by ensnarement and subsequent flossing within the injured vein.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101636