[Pseudoaneurysm with associated arteriovenous fistula after transfemoral puncture].
BACKGROUND
Local vascular complications after transfemoral cardiac catheterization occur with an incidence of 5%. Most commonly these lesions are pseudoaneurysms, av-fistulas, arterial dissections or direct vascular injuries. Undiagnosed vascular lesions can lead to fatal consequences especially in patients with chronic heart failure by av-fistula with significant shunt volume.


METHODS
We report a vascular complication of combined pseudoaneurysm and av-fistula originated from the pseudoaneurysm. The lesion was diagnosed by color Doppler ultrasound.


CONCLUSIONS
The suspicion of a vascular lesion after vascular catheterization should immediately lead to color Doppler ultrasound. Noninvasive duplexsonography will lead to early diagnosis of vascular complications and prompt further surgical or conservative intervention with reduction of long-term sequela and morbidity.
Neise
M
M
Medizinische Klinik II (Schwerpunkt Kardiologie und Angiologie), Universitätsklinik Marienhospital Herne.
Ranke
C
C
Laschewski
F
F
Trappe
H J
HJ
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D015607:Stents; D018615:Ultrasonography, Doppler, Color