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Iatrogenic arteriovenous fistula in infancy
F J Parri1, C A Mestres, L Morales
1Department of Paediatric Surgery, Hospital Clinic, University of Barcelona, Spain.
Acta Paediatrica Scandinavica
|November 1, 1988
Summary
Iatrogenic arteriovenous fistulas (AVF) in infants, often from vascular punctures, are rare. Surgical intervention is the preferred treatment for these femoral vessel abnormalities.
Area of Science:
- Vascular Surgery
- Pediatric Medicine
- Interventional Radiology
Background:
- Iatrogenic arteriovenous fistulas (AVF) are uncommon complications in infants, typically arising from diagnostic or therapeutic vascular access.
- These fistulas most frequently occur in the femoral and antecubital vessels.
Observation:
- Diagnosis is often clinically apparent but can be confirmed with imaging like digital subtraction angiography (DSA).
- Iatrogenic AVF can manifest as direct arteriovenous connections or as pseudoaneurysms developing from the venous wall.
Findings:
- The study presents a case of an infant diagnosed with an iatrogenic AVF involving the femoral vessels.
- This highlights a rare but significant complication of vascular procedures in neonates.
Implications:
- Early diagnosis and surgical management are crucial for favorable outcomes in infants with iatrogenic AVF.
- Understanding the presentation and treatment of these rare fistulas is important for pediatric surgeons and interventional radiologists.