Case Report of Patient with Posttraumatic Arteriovenous Fistula of Femoral Vessels in the Lower Third of Thigh: Peculiarities of Pathogenesis and Difficulties of Management
- 作者: Kalinin R.1, Suchkov I.1, Shanaev I.1,2, Agapov A.3, Khashumov R.1,2
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隶属关系:
- Ryazan State Medical University
- Regional Clinical Cardiological Dispensary
- Regional Clinical Hospital
- 期: 卷 30, 编号 3 (2022)
- 页面: 375-386
- 栏目: Clinical reports
- URL: https://journals.rcsi.science/pavlovj/article/view/102594
- DOI: https://doi.org/10.17816/PAVLOVJ102594
- ID: 102594
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INTRODUCTION: Pathological communications between the arterial and venous systems have been in the center of attention of surgeons since XVIII century. Despite the achievements of the modern medicine, the diagnosis and treatment of arteriovenous fistulas (AVF) is still quite a difficult problem. The most common location of AVF is the lower limbs ― 17% of cases. Because of the peculiarities of structure and clinical manifestations of posttraumatic AVF, they are diagnosed several years after the injury. Diagnostic errors reach 30%, and unsatisfactory results of surgical treatment are observed in 30% to 70% of cases. The article describes a clinical case of a patient with a rare posttraumatic AVF in the lower third of thigh identified 2 years after fracture of a lower limb. Initially, the patient was delivered to hospital for surgical treatment for varicose vein disease of the left lower limb (C5 in CEAP classification). In the follow-up examination at the department of vascular surgery, a posttraumatic AVF of femoral vessels in the lower third of thigh was found with alterations of central hemodynamics (according to the heart ultrasound data). An attempt of open disconnection of the AVF was undertaken, however, morphological alterations of the walls of femoral vessels caused by a long-existing fistula did not permit this to be done. In result, for effective disconnection of AVF two stages of endovascular treatment were required.
CONCLUSION: This medical case is given by the authors because of the rarity of pathology, atypical clinical manifestations and diagnostic difficulties. This case is also interesting from the point of view of the fact that effective disconnection of AVF required several stages of endovascular treatment.
作者简介
Roman Kalinin
Ryazan State Medical University
Email: kalinin-re@yandex.ru
ORCID iD: 0000-0002-0817-9573
SPIN 代码: 5009-2318
Scopus 作者 ID: 24331764400
Researcher ID: М-1554-2016
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanIgor’ Suchkov
Ryazan State Medical University
Email: suchkov_med@mail.ru
ORCID iD: 0000-0002-1292-5452
SPIN 代码: 6473-8662
Scopus 作者 ID: 56001271800
Researcher ID: М-1180-2016
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanIvan Shanaev
Ryazan State Medical University; Regional Clinical Cardiological Dispensary
编辑信件的主要联系方式.
Email: c350@yandex.ru
ORCID iD: 0000-0002-8967-3978
SPIN 代码: 5524-6524
Scopus 作者 ID: 57148451800
Researcher ID: AFL-5770-2022
MD, Dr. Sci. (Med.)
俄罗斯联邦, Ryazan; RyazanAndrey Agapov
Regional Clinical Hospital
Email: agapchik2008@yandex.ru
ORCID iD: 0000-0003-0178-1649
SPIN 代码: 2344-5966
MD, Cand. Sci. (Med.), doctor of the Department of Vascular Surgery
俄罗斯联邦, RyazanRuslan Khashumov
Ryazan State Medical University; Regional Clinical Cardiological Dispensary
Email: kardiokt@yandex.ru
ORCID iD: 0000-0002-9900-0363
SPIN 代码: 8495-9819
assistant of the Department of Cardiovascular, X-Ray Endovascular Surgery and radiodiagnosis
俄罗斯联邦, Ryazan; Ryazan参考
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