Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-26T01:22:11.276Z Has data issue: false hasContentIssue false
  • English
  • Français

Detachable coil embolisation for iatrogenic femoral arteriovenous fistula in patients with CHDs

Part of: Interventional Cardiology

Published online by Cambridge University Press:  08 April 2021

Hisashi Sugiyama Open the ORCID record for Hisashi Sugiyama [Opens in a new window]  and
Seiji Asagai
Hisashi Sugiyama*
Affiliation:
Pediatric Cardiology, Tokyo Women’s Medical University, Tokyo, Japan
Seiji Asagai
Affiliation:
Pediatric Cardiology, Tokyo Women’s Medical University, Tokyo, Japan
*
Author for correspondence: H. Sugiyama MD, PhD, Pediatric Cardiology, Seirei Hamamatsu General Hospital, 2-12-12, Sumiyoshi, Naka Ward, Hamamatsu, 430-8553Shizuoka, Japan. Tel: +81 53 474 2222; Fax: +81 53 475 7596. E-mail: 92sugiyama@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

We present two cases of patients with iatrogenic femoral arteriovenous fistula who underwent successful embolisation using three-dimensional shape detachable coils. A 49-year-old male with Tetralogy of Fallot had arteriovenous fistula which developed from the common femoral artery to the femoral vein with an aneurysm and a 17-year-old female with single ventricle after total-cavo-pulmonary-connection had two arteriovenous fistulas which developed from the internal iliac artery to the femoral vein. A total of six and seven pieces of detachable coils were necessary for complete occlusion, respectively. No complications were recorded. The advantage of the detachable coil is a wide variation and repositioning until the coil achieves good stabilisation and an ideal configuration.

Keywords

Femoral arteriovenous fistuladetachable coilembolisationcatheter intervention
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 10 , October 2021 , pp. 1698 - 1700
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Marsan, RE, McDonald, V, Ramamurthy, S. Iatrogenic femoral arteriovenous fistula. Cardiovasc Intervent Radiol 1990; 13: 314–316.CrossRefGoogle ScholarPubMed
Waigand, J, Uhlich, F, Gross, CM, Thalhammer, C, Dietz, R. Percutaneous treatment of pseudoaneurysms and arteriovenous fistulas after invasive vascular procedures. Catheter Cardiovasc Interv 1999; 47: 157–164.3.0.CO;2-Y>CrossRefGoogle ScholarPubMed
Kelm, M, Perings, SM, Jax, T, et al. Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas: implications for risk stratification and treatment. J Am Coll Cardiol 2002; 40: 291–297.CrossRefGoogle ScholarPubMed
Perings, SM, Kelm, M, Jax, T, Strauer, BE. A prospective study on incidence and risk factors of arteriovenous fistulae following transfemoral cardiac catheterization. Int J Cardiol 2003; 88: 223–228.CrossRefGoogle ScholarPubMed
Feld, R, Patton, GM, Carabasi, RA, Alexander, A, Merton, D, Needleman, L. Treatment of iatrogenic femoral artery injuries with ultrasound-guided compression. J Vasc Surg 1992; 16: 832–840.CrossRefGoogle ScholarPubMed
Uflacker, R, Elliott, BM. Percutaneous endoluminal stent-graft repair of an old traumatic femoral arteriovenous fistula. Cardiovasc Intervent Radiol 1996; 19: 120–122.CrossRefGoogle ScholarPubMed
De Martino, RR, Nolan, BW, Powell, RJ, Walsh, DB, Stone, DH. Stent graft repair of iatrogenic femoral arteriovenous fistula: a useful therapeutic approach in a hostile groin. Vasc Endovascular Surg 2010; 44: 40–43.CrossRefGoogle Scholar
Kent, KC, McArdle, CR, Kennedy, B, Baim, DS, Anninos, E, Skillman, JJ. A prospective study of the clinical outcome of femoral pseudoaneurysms and arteriovenous fistulas induced by arterial puncture. J Vasc Surg 1993; 17: 125–131.CrossRefGoogle ScholarPubMed
Thalhammer, C, Kirchherr, AS, Uhlich, F, Waigand, J, Gross, CM. Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents. Radiology 2000; 214: 127–131.CrossRefGoogle ScholarPubMed
Shetty, R, Lotun, K. Treatment of an iatrogenic femoral artery pseudoaneurysm with concomitant arteriovenous fistula with percutaneous implantation of an Amplatzer vascular plug. Catheter Cardiovasc Interv 2013; 81: E53–E57.CrossRefGoogle ScholarPubMed