Kalinin R, Suchkov I, Mzhavanadze N, Borisova Y, Panin I. Open surgery: Still a great option to treat patients with post-traumatic arteriovenous fistulas: A case report. World J Clin Cases 2023; 11(12): 2811-2816 [PMID: 37214567 DOI: 10.12998/wjcc.v11.i12.2811]
Corresponding Author of This Article
Nina Mzhavanadze, MD, PhD, Professor, Department of Cardiovascular, Endovascular Surgery, and Diagnostic Radiology, Ryazan State Medical University, Vysokovoltnaya, 9, Ryazan 390026, Russia. nina_mzhavanadze@mail.ru
Research Domain of This Article
Peripheral Vascular Disease
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Apr 26, 2023; 11(12): 2811-2816 Published online Apr 26, 2023. doi: 10.12998/wjcc.v11.i12.2811
Open surgery: Still a great option to treat patients with post-traumatic arteriovenous fistulas: A case report
Roman Kalinin, Igor Suchkov, Nina Mzhavanadze, Yulia Borisova, Ilya Panin
Roman Kalinin, Igor Suchkov, Nina Mzhavanadze, Ilya Panin, Department of Cardiovascular, Endovascular Surgery, and Diagnostic Radiology, Ryazan State Medical University, Ryazan 390026, Russia
Yulia Borisova, Department of Functional Diagnostics, Ryazan City Hospital for Emergency Medicine, Ryazan 390026, Russia
Ilya Panin, Department of Radiology, Ryazan City Hospital for Emergency Medicine, Ryazan 390026, Russia
Author contributions: Kalinin RE and Suchkov IA designed the report; Mzhavanadze ND treated the patient and collected the patient’s clinical data; Borisova YuO and Panin IV performed diagnostic procedures; Suchkov IA, Mzhavanadze ND, Borisova YuO and Panin IV analyzed the data and wrote the paper.
Informed consent statement: The patient was not required to give informed consent to this case report because the analysis used completely anonymous data; the consent was obtained before performing any medical investigation or start of treatment as required.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nina Mzhavanadze, MD, PhD, Professor, Department of Cardiovascular, Endovascular Surgery, and Diagnostic Radiology, Ryazan State Medical University, Vysokovoltnaya, 9, Ryazan 390026, Russia. nina_mzhavanadze@mail.ru
Received: December 26, 2022 Peer-review started: December 26, 2022 First decision: January 17, 2023 Revised: January 26, 2023 Accepted: March 9, 2023 Article in press: March 9, 2023 Published online: April 26, 2023
Abstract
BACKGROUND
In the modern era of endovascular surgery percutaneous interventions are being widely used to treat a number of vascular disorders including arteriovenous fistulas (AVF). Still, patients with hostile anatomy or complicated cases such as large post-traumatic AVFs may be successfully treated using conventional vascular surgery.
CASE SUMMARY
This paper presents state-of-the-art treatment options in subjects with post-traumatic AVFs and a case-report of a successful open surgical approach in a patient with a 25 year old history of a post-traumatic AVF between the common femoral artery and common femoral vein.
CONCLUSION
Open surgery is still a great option to treat patients with post-traumatic arteriovenous fistulas with hostile anatomy or in complicated cases. Concomitant conditions and complications should be addressed promptly.
Core Tip: Conventional open vascular surgery is a great option in treatment of post-traumatic arterio-venous fistulas involving femoral vessels in patients with hostile anatomy or complicated cases leading to aneurysm formation and limb ischemia.
