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Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication

Lower extremity angiogram is generally a safe and effective procedure with a low rate of vascular complications. We report here a unique case of a 33-year-old female with anterior tibial artery (ATA) to anterior tibial vein fistula formation after lower extremity endovascular intervention. This was...

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Autores principales: Qaja, Erion, Segal, Michael, Engler, Christopher, Badhey, Mohan, Sivakumar, Mahalingam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109892/
https://www.ncbi.nlm.nih.gov/pubmed/30167105
http://dx.doi.org/10.1093/jscr/rjy219
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author Qaja, Erion
Segal, Michael
Engler, Christopher
Badhey, Mohan
Sivakumar, Mahalingam
author_facet Qaja, Erion
Segal, Michael
Engler, Christopher
Badhey, Mohan
Sivakumar, Mahalingam
author_sort Qaja, Erion
collection PubMed
description Lower extremity angiogram is generally a safe and effective procedure with a low rate of vascular complications. We report here a unique case of a 33-year-old female with anterior tibial artery (ATA) to anterior tibial vein fistula formation after lower extremity endovascular intervention. This was initially treated with open repair of the fistula and ligation of ATA. However, patient continued to complain of claudication like symptoms. Patient subsequently had an endovascular embolization of ATA in a retrograde fashion. Recovery was unremarkable; patient was discharged home same day. Three months postoperatively patient denies leg pain, a follow-up arterial duplex failed to show presence of arterio-venous fistula. This case illustrates the effectiveness of an endovascular approach as a minimally invasive treatment for this uncommon complication that occurs after lower extremity endovascular intervention.
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spelling pubmed-61098922018-08-30 Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication Qaja, Erion Segal, Michael Engler, Christopher Badhey, Mohan Sivakumar, Mahalingam J Surg Case Rep Case Report Lower extremity angiogram is generally a safe and effective procedure with a low rate of vascular complications. We report here a unique case of a 33-year-old female with anterior tibial artery (ATA) to anterior tibial vein fistula formation after lower extremity endovascular intervention. This was initially treated with open repair of the fistula and ligation of ATA. However, patient continued to complain of claudication like symptoms. Patient subsequently had an endovascular embolization of ATA in a retrograde fashion. Recovery was unremarkable; patient was discharged home same day. Three months postoperatively patient denies leg pain, a follow-up arterial duplex failed to show presence of arterio-venous fistula. This case illustrates the effectiveness of an endovascular approach as a minimally invasive treatment for this uncommon complication that occurs after lower extremity endovascular intervention. Oxford University Press 2018-08-27 /pmc/articles/PMC6109892/ /pubmed/30167105 http://dx.doi.org/10.1093/jscr/rjy219 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Qaja, Erion
Segal, Michael
Engler, Christopher
Badhey, Mohan
Sivakumar, Mahalingam
Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
title Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
title_full Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
title_fullStr Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
title_full_unstemmed Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
title_short Retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
title_sort retrograde embolization of anterior tibial artery for an iatrogenic arterio-venous fistula causing left lower extremity claudication
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109892/
https://www.ncbi.nlm.nih.gov/pubmed/30167105
http://dx.doi.org/10.1093/jscr/rjy219
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