title: [Femoral arteriovenous fistula: a late uncommon complication of central venous catheterization].
abstract: A 77-year-old woman was admitted due to AV graft thrombosis; given the technical impossibility of performing other native AV fistulas, we chose to insert a tunnelled central venous catheter. Considering the vascular history of the patient, the central venous catheter could not be placed into the internal jugular vein; it was therefore put into the left femoral vein. Following a 3-month-period of the catheter working properly, the patient was hospitalized due to sudden acute pain in the left thigh. In a few days the patient developed an important haematoma with serious anemization in the left lower limb. Ultrasonography showed the presence of a fistula between the left common femoral artery and the femoral vein, leading to the subsequent successful positioning of a stent into the common femoral artery through right trans-femoral access. Angiography examination showed the femoral vein patency along the proximal stretch with respect to the function of the tunnelled venous catheter.
authors.affiliation: Ospedale Vittorio Emanuele III, Monselice, Italy. piero.conz@ulss17.it
authors.forename: P A
authors.initials: PA
authors.lastname: Conz
authors.forename: A
authors.initials: A
authors.lastname: Malagoli
authors.forename: M
authors.initials: M
authors.lastname: Normanno
authors.forename: D
authors.initials: D
authors.lastname: Munaro
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery; D005268:Femoral Vein; D006801:Humans