Proximal Arterial Dilatation Developing after Surgical Closure of Long-Standing Posttraumatic Arteriovenous Fistula

1997 ◽  
Vol 11 (4) ◽  
pp. 391-396 ◽  
Author(s):  
Didier Mellière ◽  
Reda Hassen-Khodja ◽  
Jean-Michel Cormier ◽  
Pierre Le Bas ◽  
André Mikati ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Surgical Closure

scholarly journals Intraoperative microvascular Doppler monitoring of blood flow within a spinal dural arteriovenous fistula: a precious surgical tool

2001 ◽  
Vol 10 (2) ◽  
pp. 1-5 ◽  
Author(s):  
Domenico Gerardo Iacopino ◽  
Maria Giusa ◽  
Alfredo Conti ◽  
Salvatore Cardali ◽  
Francesco Tomasello
Keyword(s):  
Flow Velocity ◽  
Arteriovenous Fistula ◽  
Clinical Results ◽  
Spinal Dural Arteriovenous Fistula ◽  
Surgical Closure ◽  
Spinal Arteriovenous Fistula ◽  
Surgical Tool ◽  
Reliable Monitoring ◽  
Velocity Changes ◽  
Monitoring Modality

The authors describe a case of spinal arteriovenous fistula (AVF) treated by a microvauscular Doppler–assisted surgical interruption of the arterialized vein. Microvascular Doppler monitoring represents a valid, widely available, non-invasive tool that enables identification, through flow spectrum analysis, of components of this type of vascular malformation. In this case because the location of the fistula was identified prior to opening the dura only minimally invasive surgery was required. Direct recordings of the arterialized draining vein and the nidus of the fistula demonstrated a pathological spectrum caused by the arterial supply and the disturbed venous outflow in which a high-resistance flow pattern and low diastolic flow resembling an arterial-like flow velocity were observed. The fistula was obliterated by interruption of the draining vein, and Doppler measurements provided information on flow velocity changes in the medullary veins from an arterial to a venous pattern. The absence of any residual flow in the AVF confirmed successful hemodynamic treatment. Intraoperative microvascular Doppler recording during surgical closure of spinal AVF is a widely available and reliable monitoring modality that helps to produce excellent clinical results.

scholarly journals Arteriovenous Fistula after Femoral Artery Puncture Leading to Pulmonary Edema: The Role of Ultrasonography

2012 ◽  
Vol 113 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Jan Malík ◽  
R. Holaj ◽  
Z. Krupičková ◽  
T. Janota
Keyword(s):  
Heart Failure ◽  
Pulmonary Edema ◽  
Arteriovenous Fistula ◽  
Doppler Ultrasonography ◽  
Arterial Puncture ◽  
Surgical Closure ◽  
Blood Drawing ◽  
Flow Through ◽  
Duplex Doppler

Local complications of arterial puncture include hematoma, pseudoaneurysm and formation of arteriovenous fistula (AVF). The latter could cause ischemia of the particular extremity or can be hemodynamically significant especially in patients suffering from congestive heart failure. We report a case of femoro-femoral AVF after thin needle arterial puncture for blood drawing. The development of this iatrogenic AVF led to pulmonary edema. The patient stabilized completely after surgical closure of the AVF. The AVF was diagnosed by duplex Doppler ultrasonography and this method was also used for estimation of blood flow through the AVF. We discuss the role of ultrasound AVF diagnostics and the method of flow calculation.

scholarly journals Reversible pulmonary hypertension in post -renaltransp lantation patient with longst anding arteriovenous fistula

2017 ◽  
Vol 19 (1) ◽  
pp. 57-62
Author(s):  
E. M. Zeltyn-Abramov ◽  
R. T. Iskhakov ◽  
L. Yu. Artyukhina ◽  
E. S. Ivanova ◽  
O. V. Manchenko ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Flow ◽  
Pulmonary Hypertension ◽  
Arteriovenous Fistula ◽  
Signs And Symptoms ◽  
Complete Regression ◽  
Pathogenic Role ◽  
High Cardiac Output ◽  
Surgical Closure

Case report of reversible high pulmonary hypertension (PH) in patient with successful kidney transplantation (KT) is presented. The distinction of the case was the functioning arteriovenous fistula (AVF) with excessive blood flow during 15 years in the absence of indications for hemodialysis. Consequently, PH was complicated by serious congestive heart failure (CHF) with high cardiac output. Surgical closure of AVF resulted in complete regression of clinical, instrumental and laboratory signs and symptoms of PH and CHF within 2 weeks. The pathogenic role of excessive AVF blood flow in PH and CHF formation is a point of discussion. Surgical closure of AVF with excessive blood flow is recommended in cases of presence of symptomatic PH and CHF in patients after successful KT.

Erworbenes von-Willebrand-Syndrom Typ 2A als Begleiterscheinung eines Dialyseshunts?

2011 ◽  
Vol 31 (02) ◽  
pp. 118-122
Author(s):  
F. Bach ◽  
S. Kuhlmann ◽  
B. Feidicker ◽  
M. U. Heim ◽  
C. Susemihl ◽  
...  
Keyword(s):  
Blood Flow ◽  
Shear Stress ◽  
Arteriovenous Fistula ◽  
Spontaneous Bleeding ◽  
Surgical Closure ◽  
Altered Blood ◽  
One Year ◽  
Von Willebrand ◽  
Willebrand Factor ◽  
Haemodialysis Treatment

SummaryAcquired von Willebrand’s disease (aVWD) is considered to be an underestimated cause of unexplained bleeding. Adsorption of von Willebrand factor (VWF) to tumour cells or hydroxyethyl starch and elimination of VWF by autoantibodies as well as shear stress-induced mechanical alteration of VWF with concomitant cleavage by enzymes may lead to an acquired deficiency of VWF and a bleeding disorder.We report a 39-year-old woman who developed spontaneous bleeding five years after surgical creation of an arteriovenous fistula (AVF) for haemodialysis treatment. AVWD type 2A was diagnosed after successful renal transplantation. One year after surgical closure of the AVF, the aVWD could not be verified again. Thus, the aVWD may have developed because of altered blood flow and shear stress inside the arteriovenous fistula.

Physiologic evaluation of the indications for surgical closure of coronary arteriovenous fistula

1975 ◽  
Vol 35 (1) ◽  
pp. 125
Author(s):  
Gerald Buckberg ◽  
Norman Cooper ◽  
John Brazier ◽  
Douglas McConnell ◽  
James Maloney
Keyword(s):  
Arteriovenous Fistula ◽  
Surgical Closure ◽  
Coronary Arteriovenous Fistula
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