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Published on: April 1, 2022
Iatrogenic arteriovenous fistula as a cause for leg ulcers: a case report
Kurian J Mylankal1, Brian Johnson, Duncan F Ettles
1Department of Vascular and Endovascular Surgery, Fremantle Hospital, Western, Australia.
Abstract:
An 80-year-old man presented with painful leg ulceration due to steal phenomenon from a groin arteriovenous fistula (AVF) 10 years following a coronary angiogram. The diagnosis of the AVF was confirmed by duplex examination of the groin vessels which demonstrated characteristic flow pattern in the femoral arterial and venous system. Angiography further confirmed the site of the fistulous communication and this was managed by a covered stent graft. We discuss the incidence of AVF, risk factors for its development, relevant diagnostic investigations and management options along with strategies to reduce the incidence of AVF following percutaneous punctures.
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