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NDT Plus Advance Access originally published online on December 15, 2008
NDT Plus 2009 2(1):46-48; doi:10.1093/ndtplus/sfn190
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Iatrogenic arteriovenous fistula in the groin presenting as cardiac failure

Devan Thavarajan and Ali Bakran

Regional Vascular Surgical Unit, Royal Liverpool University Hospital, Liverpool, UK

Correspondence: Correspondence and offprint requests to: Ali Bakran, Royal Liverpool University Hospital, Prescot Street, Liverpool, L7 8XP, UK. Tel: +44-1517063495; Fax: +44-1517065819; E-mail: ali.bakran{at}rlbuht.nhs.uk


  Abstract

A patient presented with cardiac failure and investigations revealed a right femoral arteriovenous fistula (AVF) 5 weeks after the insertion of a femoral dialysis catheter for haemodialysis. No ultrasound had been used for catheter insertion. The iatrogenic AVF was repaired, and her episodes of cardiac failure ceased. It is recommended that femoral dialysis catheters are inserted using ultrasound guidance to avoid inadvertent arterial puncture.

Key Words: arteriovenous fistula • cardiac failure • dialysis access • iatrogenic • surgery

Received for publication November 4, 2008. Accepted for publication November 6, 2008.


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