title: Iatrogenic arteriovenous fistula in the arm in an infant: diagnostic and therapeutic considerations.
abstract: Iatrogenic arteriovenous fistulas (AVF) are well described in adults; however, this complication is rarely described and reported in infants. We report the case of a 3-month-old infant with complicated gastroschisis requiring multiple venipunctures who presented with signs and symptoms suggestive of traumatic arteriovenous fistula. Ultrasound imaging confirmed the presence of a wide-necked AVF between the brachial artery and vein. The fistula was surgically repaired. This case report describes the clinical imaging and treatment options for infants with iatrogenic AVF.
authors.affiliation: Department of Surgery, University of Washington, Seattle, WA, USA.
authors.forename: Meera
authors.initials: M
authors.lastname: Kotagal
authors.forename: Aya
authors.initials: A
authors.lastname: Reiss
authors.forename: Nghia
authors.initials: N
authors.lastname: Vo
authors.forename: Kenneth
authors.initials: K
authors.lastname: Feldman
authors.forename: George
authors.initials: G
authors.lastname: Drugas
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Avansino
mesh_terms: D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D005542:Forearm; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D008297:Male; D018608:Ultrasonography, Doppler
references.citation: Ann Vasc Surg. 2003 Jul;17(4):417-23
references.pmid: 14670021
references.citation: Clin Radiol. 2008 Dec;63(12):1310-6
references.pmid: 18996260
references.citation: Arch Surg. 1981 May;116(5):697-702
references.pmid: 7235963
references.citation: Clin Pediatr (Phila). 2002 Mar;41(2):131-2
references.pmid: 11931332
references.citation: Pediatrics. 1985 Jul;76(1):97-8
references.pmid: 4011360
references.citation: AJR Am J Roentgenol. 1984 Mar;142(3):567-70
references.pmid: 6607647
references.citation: Am Surg. 2006 Sep;72(9):833-6
references.pmid: 16986396
references.citation: J Clin Ultrasound. 2002 Jul-Aug;30(6):336-42
references.pmid: 12116095