Related Experiment Video
Updated: Apr 12, 2026

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Iatrogenic arteriovenous fistula in the groin presenting as cardiac failure
Devan Thavarajan1, Ali Bakran1
1Regional Vascular Surgical Unit , Royal Liverpool University Hospital , Liverpool , UK.
Abstract:
A patient presented with cardiac failure and investigations revealed a right femoral arteriovenous fistula (AVF) 5 weeks after the insertion of a femoral dialysis catheter for haemodialysis. No ultrasound had been used for catheter insertion. The iatrogenic AVF was repaired, and her episodes of cardiac failure ceased. It is recommended that femoral dialysis catheters are inserted using ultrasound guidance to avoid inadvertent arterial puncture.
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