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Popliteal traumatic arteriovenous fistulas
Nenad Ilijevski1, Djordje Radak, Bozina Radević
1Vascular Surgery Department, Dedinje Cardiovascular Institute Belgrade, Belgrade, Yugoslavia. ilijevskidr@yubc.net
The Journal of Trauma
|April 17, 2002
Summary
Popliteal arteriovenous fistulas (AVFs) from trauma can lead to severe complications, including leg amputation and cardiac issues. Early diagnosis and surgical intervention are crucial for managing these vascular injuries.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Cardiology
Background:
- Popliteal arteriovenous fistulas (AVFs) are rare but serious consequences of trauma.
- These injuries can present with diverse clinical manifestations and lead to significant morbidity.
Purpose of the Study:
- To analyze the clinical presentation, diagnosis, and surgical outcomes of popliteal AVFs.
- To increase awareness among trauma surgeons regarding the complexities of popliteal AVF management.
Main Methods:
- Retrospective analysis of seven patients with traumatic popliteal AVF treated between 1991 and 2000.
- Diagnosis confirmed via clinical examination (thrill, bruit) and angiography.
- Surgical treatment included vascular reconstruction or ligation.
Main Results:
- Five of seven patients had successful surgical outcomes without major complications.
- Two patients required leg amputation due to pre-existing gangrene or failed reconstruction.
- Three patients showed signs of cardiac overload, highlighting potential systemic effects.
Conclusions:
- Popliteal space trauma demands vigilance for potential AVFs due to high risk of amputation and cardiac complications.
- Clinical signs like thrill and bruit are key indicators for considering AVF.
- Prompt diagnosis with angiography and timely surgical or nonsurgical closure are vital to prevent irreversible damage.