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Case Reports
. 2020 Dec 5;53(6):408-410.
doi: 10.5090/kjtcs.20.019.

Delayed Treatment of Iatrogenic Brachial Arteriovenous Fistula

Young-Jin Youn  1 , Chang Wan Kim  1 , Il Hwan Park  1 , Chun Sung Byun  1
Affiliations
Case Reports

Delayed Treatment of Iatrogenic Brachial Arteriovenous Fistula

Young-Jin Youn et al. Korean J Thorac Cardiovasc Surg. .

Abstract

Iatrogenic vascular injuries may occur during venipuncture, arterial cannulation, or catheterization procedures. Brachial arteriovenous fistula (AVF) resulting from antecubital vascular access is rare and develops slowly. We report the case of an 18-year-old man who had developed iatrogenic brachial AVF. He had a history of several venipunctures in the left arm at the age of 10 months. Doppler ultrasonography and computed tomographic angiography were used to establish a diagnosis of brachial AVF, and surgical correction of the AVF was performed. As our case indicates, delayed surgery can be considered as a treatment option and may be associated with a decreased risk of vascular complications in the management of iatrogenic brachial AVF in infants.

Keywords: Arteriovenous fistula; Brachial artery injury; Vascular system injury.

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Conflict of interest statement

Conflict of interest

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Preoperative CT angiogram. (A) A brachial arteriovenous fistula (white arrowhead) with an engorged vein. (B) Postoperative 6-month CT angiogram showed a normalized artery. CT, computed tomography.
Fig. 2
Fig. 2
(A) The black arrow shows the engorged vein, and the proximal part of the brachial artery was encircled with a rubber sling. (B) A fistulous opening to the arterial lumen was noted. (C) The fistula was repaired continuously. (D) The vein was closed.
See this image and copyright information in PMC

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