[An arterio-cutaneous fistula following attempted thrombolysis and amputation]

This report demonstrates an exceptional case of arteriocutaneous fistula developing after local thrombolysis. The arterial catheter was left in situ for four days and was removed after failure of lumen restoration. A complete ischemia of the lower leg persisted. Following above knee amputation, the patient developed a fistula at the medial side of the stump. Fistulography proved a direct communication with the lumen of the partially recanalized superficial femoral artery. At operation, a suppurative arteritis was found. After complete extirpation of the superficial femoral artery including the transcutaneous fistula, a complete healing could be achieved.