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Journals
Journal of Ultrasonography
Volume 18 (2018): Issue 73 (June 2018)
Open Access
Diagnosis and treatment of posttraumatic arteriovenous fistula in the lower leg – a case report
Jan Sobstyl
Jan Sobstyl
,
Maryla Kuczyńska
Maryla Kuczyńska
,
Ewa Kuklik
Ewa Kuklik
,
Łukasz Światłowski
Łukasz Światłowski
,
Maria Tsitskari
Maria Tsitskari
and
Tomasz Jargiełło
Tomasz Jargiełło
| Aug 31, 2018
Journal of Ultrasonography
Volume 18 (2018): Issue 73 (June 2018)
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Article Category:
case-report
Published Online:
Aug 31, 2018
Page range:
166 - 169
Received:
Jan 15, 2018
Accepted:
Jun 29, 2018
DOI:
https://doi.org/10.15557/jou.2018.0025
Keywords
arteriovenous fistula
,
Doppler ultrasound imaging
,
interventional radiology
© 2018 Jan Sobstyl et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Fig. 1.
Baseline US using a linear Doppler 6–12 MHz transducer. A. Low-resistance, single-phase blood flow spectrum in the popliteal artery, indicating blood supply to a high-flow fistula. B. Arteriovenous fistula in the anterior tibial vessels. C. Fistula and dilated efferent vein in both B-mode and Doppler ultrasound
Fig. 2.
Arteriography showing an arteriovenous fistula in the lower leg. A. Preliminary arteriography confirming the presence of posttraumatic arteriovenous fistula and a piece of metal responsible for arterial damage near the anterior tibial artery. B. Rapid venous blood outflow from the fistula, evident dilation of the efferent AVF veins
Fig. 3.
Embolization of arteriovenous fistula of the lower leg. A. Implantation of Amplatzer vascular occluder in the fistula. A visible piece of metal responsible for anterior tibial artery damage. B. Blood supply to the fistula through collateral circulation from peripheral arterial segment. C. Injection of Glubran 50% mixture through a direct puncture
Fig. 4.
Ultrasound assessment of endovascular treatment efficacy. A. Amplatzer vascular occluder implanted into the arteriovenous fistula in B-mode presentation. B. Closure of the arteriovenous fistula in the lower limb. C. Normal blood flow in the popliteal artery and vein