Related Experiment Video
Updated: Aug 5, 2025
07:30
Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
7.7K
[Iatrogenic femoral AV-fistula]
Jon Bjarnason1, Helgi Mar Jonsson2, Bjorn Flygering3
1Diagnostic and Interventional Radiology, Landspitali National University Hospital of Iceland.
Laeknabladid
|March 29, 2023
Summary
Endovascular interventions using the common femoral artery can lead to complications like arteriovenous fistula (AVF). While rare, symptomatic AVFs can cause leg claudication or heart failure due to arteriovenous shunting.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Access
Context:
- The common femoral artery is a primary access site for endovascular interventions.
- Arterial punctures during these procedures carry risks of complications.
- Complications include hematoma, pseudoaneurysm, and arteriovenous fistula (AVF).
Purpose:
- To discuss the occurrence and implications of arteriovenous fistula (AVF) following common femoral artery access.
- To highlight the potential hemodynamic changes caused by AVFs.
- To describe the clinical presentation of symptomatic AVFs.
Summary:
- Complications from common femoral artery access occur in 1-10% of cases.
- Arteriovenous fistula (AVF) is a rare complication with prevalence <1%.
- AVFs can lead to arteriovenous shunting, causing symptoms like leg claudication or high-output heart failure in persistent cases.
Impact:
- Understanding AVF prevalence and symptoms is crucial for managing endovascular access complications.
- Early recognition of symptomatic AVFs can prevent serious sequelae.
- This knowledge aids in patient counseling and procedural risk assessment.
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