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The occurrence of arterio-venous fistula during lower limb subintimal angioplasty: treatment and outcome.
Ananthakrishnan, G; DeNunzio, M; Bungay, P; Pollock, G; Fishwick, G; Bolia, A.
Afiliación
  • Ananthakrishnan G; Department of Surgery, Derbyshire Royal Infirmary, Derby, DE1 2QY, UK. ananth_26@yahoo.co.in
Eur J Vasc Endovasc Surg ; 32(6): 675-9, 2006 Dec.
Article en En | MEDLINE | ID: mdl-16968667
OBJECTIVES: To describe our experience with iatrogenic arterio-venous fistula (AVF) occurring during lower limb subintimal angioplasty, their management and the final clinical, radiological outcome. DESIGN: Retrospective review of case series from two centres, from a computerised database over a period of five years. MATERIAL: Twelve patients whose lower limb subintimal angioplasty was complicated by Iatrogenic AVF. RESULTS: The Majority of AVF occurred at the popliteal trifurcation vessels. And the incidence of this complication in our case series was 0.8%. This was managed with a variety of techniques-Coil embolisation, balloon tamponade, alternative dissection and stent placement. In one patient, the fistula was left open intentionally. All twelve patients had a successful angioplasty. The overall technical success rate for AVF ablation was eighty percent. CONCLUSIONS: AVF is a potential complication of angioplasty. The majority can be managed by endovascular means during the angioplasty procedure with good technical success.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteriopatías Oclusivas / Fístula Arteriovenosa / Angioplastia / Extremidad Inferior / Isquemia Tipo de estudio: Diagnostic_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Eur J Vasc Endovasc Surg Asunto de la revista: ANGIOLOGIA Año: 2006 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteriopatías Oclusivas / Fístula Arteriovenosa / Angioplastia / Extremidad Inferior / Isquemia Tipo de estudio: Diagnostic_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male Idioma: En Revista: Eur J Vasc Endovasc Surg Asunto de la revista: ANGIOLOGIA Año: 2006 Tipo del documento: Article Pais de publicación: Reino Unido