title: Arteriovenous fistula after femoral artery puncture leading to pulmonary edema: the role of ultrasonography.
abstract: 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.
authors.affiliation: 3rd Department of Medicine, Charles University, Prague, Czech Republic. malik.jan@vfn.cz
authors.forename: J
authors.initials: J
authors.lastname: Malík
authors.forename: R
authors.initials: R
authors.lastname: Holaj
authors.forename: Z
authors.initials: Z
authors.lastname: Krupičková
authors.forename: T
authors.initials: T
authors.lastname: Janota
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D001783:Blood Flow Velocity; D001800:Blood Specimen Collection / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery; D005268:Femoral Vein; D006333:Heart Failure / Q000150:complications / Q000503:physiopathology; D006801:Humans; D011654:Pulmonary Edema / Q000209:etiology*; D011677:Punctures / Q000009:adverse effects*; D018616:Ultrasonography, Doppler, Duplex