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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
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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
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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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