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Case Reports
. 2025 Apr 28;11(4):101822.
doi: 10.1016/j.jvscit.2025.101822. eCollection 2025 Aug.

Arteriovenous fistula following radial artery cannulation in a patient with vascular Ehlers-Danlos syndrome

Gabrielle Gionet  1 , Félix H Savoie-White  2 , Ievgen Gegiia  2 , Sara Sédillot-Daniel  2 , Violaine Dalens  3 , Pascal Rhéaume  2
Affiliations
Case Reports

Arteriovenous fistula following radial artery cannulation in a patient with vascular Ehlers-Danlos syndrome

Gabrielle Gionet et al. J Vasc Surg Cases Innov Tech. .

Abstract

Vascular Ehlers-Danlos syndrome (VEDS) increases the risk of complications following invasive procedures owing to vascular fragility. This case report details a patient with VEDS who developed two arteriovenous fistulas after radial line placement for an emergency endovascular procedure. Effective management required ligation of the radial artery feeding both two arteriovenous fistulas, underscoring the need to minimize invasive procedures and ensure thorough follow-ups in patients with VEDS. Regular imaging and proactive monitoring are essential for the early detection and management of complications, thereby improving patient outcomes and decreasing long-term risks.

Keywords: Ehlers-Danlos syndrome; Iatrogenic arteriovenous fistula; Preventive medicine; Vascular Ehlers-Danlos syndrome.

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Conflict of interest statement

None.

Figures

Fig 1
Fig 1
Initial Doppler ultrasound showing two small left radial arteriovenous fistulas.
Fig 2
Fig 2
Follow-up Doppler ultrasound showing progression of left radial arteriovenous fistulas (AVFs).
See this image and copyright information in PMC

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