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Arteriovenous fistula following central venous catheterization
Archives of Surgery (Chicago, Ill. : 1960)
|June 1, 1986
Summary
Arteriovenous fistulas after subclavian catheterization can lead to heart failure or bruits. Surgical obliteration is an effective treatment for these rare but serious complications.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Subclavian catheterization is a common medical procedure.
- Arteriovenous fistulas (AVFs) are rare but serious complications that can arise post-catheterization.
Observation:
- Three cases of AVFs developing after subclavian catheterization are presented.
- Symptoms included heart failure and asymptomatic continuous bruits.
- The time from catheter removal to bruit detection varied significantly (three days to 1.5 years).
Findings:
- The feeder vessel for the AVFs was consistently a branch of the subclavian artery.
- Previously reported cases also showed a delayed presentation and feeder artery involvement.
Implications:
- Prompt diagnosis and management of AVFs post-catheterization are crucial.
- Understanding the vascular anatomy involved aids in surgical obliteration.
- This highlights the importance of vigilance for delayed complications after invasive vascular procedures.