emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-179Research ArticleКлинический случайЛиквидация постпункционной бедренной артериовенозной фистулыElimination of post-puncture arteriovenous femoral fistulaРоговойН. Г.RogovoyN. A.ЯнушкоВ. А.YanushkoV. A.КлимчукИ. П.KlimchukI. P.КомиссаровВ. В.KomisarauV. V.МельничукЮ. А.MelnichukY. A.Белорусский государственный медицинский университетBelarusian State Medical UniversityРНПЦ «Кардиология»RSPC of CardiologyУЗ «4-я ГКБ им.Н.Е.Савченко»4th N.E. Savchenko City Clinical Hospital20203010202541889–892Copyright © Роговой Н.Г., Янушко В.А., Климчук И.П., Комиссаров В.В., Мельничук Ю.А., 20252025Роговой Н.Г., Янушко В.А., Климчук И.П., Комиссаров В.В., Мельничук Ю.А.Rogovoy N.A., Yanushko V.A., Klimchuk I.P., Komisarau V.V., Melnichuk Y.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/179

В данной статье приводятся клинические случаи успешного хирургического лечения артериовенозной фистулы, сформированной после проведения ангиографического обследования трансфеморальным досупом. Данная патология является довольно редкой и выявлена в качестве случайной находки при обследовании пациентов с жалобами на перемежающую хромоту и наличие ангиографического исследования в анамнезе. Подходы к тактике лечения таких пациентов не до конца ясны и, как следствие, не обобщены в виде общепринятых рекомендаций. Это определяет актуальность поиска оптимальной методики лечения этих пациентов. Проведение хирургического вмешательсва в данных клинических случаях привело к положительному результату, что соответствует данным большинства литературных источников, указывающих на преимущество хирургической тактики лечения артериовенозных фистул

This article presents clinical cases of successful surgical treatment of arteriovenous fistula is formed after angiographic examination by transfemoral access. This pathology is quite rare and was identified as a random finding when we were examining patients with complaints of intermittent claudication and an angiographic exemiation in history. Treatment approaches of these patients are not completely clear. As a result, there are no generally accepted recommendations. The optimal treatment methods for these patients search for many reseachers. Surgical treatment of patients gave a positive clinical result. It is consistent with most literature data showing the advantage of surgical treatment.

артериовенозная фистулаангиографияобщая бедренная артерияобщая бедренная венаarteriovenous fistulaangiographycommon femoral arterycommon femoral veinReferencesGradual Treatment of Arteriovenous Fistula in Femoral Vessels as a Complication of Coronary Angiography. Mehmet Işık,Ömer Tanyeli, Yüksel Dereli, Volkan Burak Taban,Özgür Altınbaş,Niyazi Görmüş. Braz. J. Cardiovasc. Surg. vol.33 no.6 São José do Rio Preto Nov./Dec. 2018.Gradual Treatment of Arteriovenous Fistula in Femoral Vessels as a Complication of Coronary Angiography. Mehmet Işık,Ömer Tanyeli, Yüksel Dereli, Volkan Burak Taban,Özgür Altınbaş,Niyazi Görmüş. Braz. J. Cardiovasc. Surg. vol.33 no.6 São José do Rio Preto Nov./Dec. 2018.Johnson L.W., Esente P., Giambartolomei A., Grant W.D., Loin M., Reger M.J., Shaw C., Walford G.D. Peripheral vascular complications of coronary angioplasty by the femoral and brachial techniques. Cathet. Cardiovasc. Diagn, 1994, vol. 31, no. 3, pp. 165-172.Johnson L.W., Esente P., Giambartolomei A., Grant W.D., Loin M., Reger M.J., Shaw C., Walford G.D. Peripheral vascular complications of coronary angioplasty by the femoral and brachial techniques. Cathet. Cardiovasc. Diagn, 1994, vol. 31, no. 3, pp. 165-172.Stigall K.E., Dorsey J.S. Late complications of traumatic arteriovenous fistula. Case report and overview. Am. Surg, 1989, vol. 55, no. 3, pp. 180-183.Stigall K.E., Dorsey J.S. Late complications of traumatic arteriovenous fistula. Case report and overview. Am. Surg, 1989, vol. 55, no. 3, pp. 180-183.Осложнения коронарографии и перкутанного коронарного вмешательства /А. А. Янкевич // Серце і судини. - 2016. - № 4. - С. 125-136.Осложнения коронарографии и перкутанного коронарного вмешательства /А. А. Янкевич // Серце і судини. - 2016. - № 4. - С. 125-136.Porter J., Al-Jarrah Q., Richardson S. A Case of Femoral Arteriovenous Fistula Causing High-Output Cardiac Failure, Originally Misdiagnosed as Chronic Fatigue Syndrome [electronic resource]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055063/doi:10.1155/2014/510429. (accessed 28.11.2019).Porter J., Al-Jarrah Q., Richardson S. A Case of Femoral Arteriovenous Fistula Causing High-Output Cardiac Failure, Originally Misdiagnosed as Chronic Fatigue Syndrome [electronic resource]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4055063/doi:10.1155/2014/510429. (accessed 28.11.2019).Arteriovenous fistula as a complication of transradial coronary angiography: a case report. Payam Dehghani, Jennifer Culig, Darshan Patel, Greg Kraushaar, and Paul Schulte. J Med Case Rep. 2013.Arteriovenous fistula as a complication of transradial coronary angiography: a case report. Payam Dehghani, Jennifer Culig, Darshan Patel, Greg Kraushaar, and Paul Schulte. J Med Case Rep. 2013.Suknaic S., Erdelez L., Skopljanac A., Sef D., Novacic K. Chronic ischaemic leg ulcer as a late complication of post-traumatic arteriovenous fistula. Phlebology, 2012, vol. 27, no. 3, pp. 124-127. doi: 10.1258/phleb.2011.011018/.Suknaic S., Erdelez L., Skopljanac A., Sef D., Novacic K. Chronic ischaemic leg ulcer as a late complication of post-traumatic arteriovenous fistula. Phlebology, 2012, vol. 27, no. 3, pp. 124-127. doi: 10.1258/phleb.2011.011018/.Thavarajan D., Bakran A. Iatrogenic arteriovenous fistula in the groin presenting as cardiac failure. NDT Plus, 2009, vol. 2, no. 1, pp. 46-48. doi: 10.1093/ndtplus/sfn190.Thavarajan D., Bakran A. Iatrogenic arteriovenous fistula in the groin presenting as cardiac failure. NDT Plus, 2009, vol. 2, no. 1, pp. 46-48. doi: 10.1093/ndtplus/sfn190.Chernuha L.M., Nikul’nikov P.I., Kashirova E.V., Vlaykov G.G., Al’tman I.V., Guch A.A., Matyasch’uk A.S. Posttravmaticheskie arteriovenozny’e fistuly’. Opy’t lecheniya [Post-traumatic arteriovenous fistula. Experience in the treatment of]. Novosti hirurgii, 2011, vol. 19, no. 3, pp. 63-69. (in Russian).Chernuha L.M., Nikul’nikov P.I., Kashirova E.V., Vlaykov G.G., Al’tman I.V., Guch A.A., Matyasch’uk A.S. Posttravmaticheskie arteriovenozny’e fistuly’. Opy’t lecheniya [Post-traumatic arteriovenous fistula. Experience in the treatment of]. Novosti hirurgii, 2011, vol. 19, no. 3, pp. 63-69. (in Russian).Recurrent Arteriovenous Fistula as a Rare Complication of Transradial Coronary Angiography Sheharyar Minhas, MD, Kevin Barretto, Maira Malik, Sunil Dhar, MD. March 2019.Recurrent Arteriovenous Fistula as a Rare Complication of Transradial Coronary Angiography Sheharyar Minhas, MD, Kevin Barretto, Maira Malik, Sunil Dhar, MD. March 2019.Rozy’hodjaeva G.A., Islambekov H.I. Posttravmaticheskaya arteriovenoznaya fistula [Posttraumatic arteriovenous fistula]. Med. jurn. Uzbekistana, 2011, no. 1, pp. 85. (in Russian).Rozy’hodjaeva G.A., Islambekov H.I. Posttravmaticheskaya arteriovenoznaya fistula [Posttraumatic arteriovenous fistula]. Med. jurn. Uzbekistana, 2011, no. 1, pp. 85. (in Russian).Acquired arteriovenous fistula of the lower extremity. Author: Patrick Stone, MD, FACS, RVT, RPVI, Sep 20, 2019.Acquired arteriovenous fistula of the lower extremity. Author: Patrick Stone, MD, FACS, RVT, RPVI, Sep 20, 2019.Waigand J., Uhlich F., Gross C.M., Thalhammer C., Dietz R., Percutaneous treatment of pseudoaneurysms and arteriovenous fistulas after invasive vascular procedures. Catheter. Cardiovasc. Interv, 1999, vol. 47, no. 2, pp. 157-164.Waigand J., Uhlich F., Gross C.M., Thalhammer C., Dietz R., Percutaneous treatment of pseudoaneurysms and arteriovenous fistulas after invasive vascular procedures. Catheter. Cardiovasc. Interv, 1999, vol. 47, no. 2, pp. 157-164.Barbaros E.Çil, Akmangit İ., Peynircioğlu B., Karçaaltıncaba M., Çekirge S. Iatrogenic femoral arteriovenous fistula: endovascular treatment with covered stent implantation and 4-year follow-up. Diagn. Interv. Radiol, 2006, vol. 12, no. 3, pp. 50-52.Barbaros E.Çil, Akmangit İ., Peynircioğlu B., Karçaaltıncaba M., Çekirge S. Iatrogenic femoral arteriovenous fistula: endovascular treatment with covered stent implantation and 4-year follow-up. Diagn. Interv. Radiol, 2006, vol. 12, no. 3, pp. 50-52.Цыганков В.Н., Францевич А.М., Варава А.Б., Дан В.Н., Черная Н.Р. Эндоваскулярное лечение посттравматических артериовенозных свищей. Хирургия, 2015. - N 7. - С. 34-40.Цыганков В.Н., Францевич А.М., Варава А.Б., Дан В.Н., Черная Н.Р. Эндоваскулярное лечение посттравматических артериовенозных свищей. Хирургия, 2015. - N 7. - С. 34-40.

The authors declare that there are no conflicts of interest present.