A rare presentation of bilateral spontaneous superficial femoral arteriovenous fistulas

Inyong Hwang, Kavita Bomb, Raza Askari, Rami Khouzam

Research output: Contribution to journalArticle

Abstract

Spontaneous arteriovenous fistulas are a rare clinical entity with very few cases reported in the literature. Prompt diagnosis and treatment is crucial and can prevent further complications in such patients. We report a case of a patient who presented with progressive bilateral claudication, discolouration of feet, hypaesthesia and non-healing ulcers. The patient had no history of trauma, aneurysm or surgery. After abnormal non-invasive studies, a peripheral angiogram revealed significant disease and obstruction of bilateral superficial femoral arteries. Spontaneous bilateral femoral arteriovenous fistulas were also found incidentally. After discussing the risks and benefits of multiple treatment options with the patient, percutaneous intervention with orbital atherectomy, balloon angioplasty and covered stent placements were performed. This treatment improved the patient's symptoms significantly.

Original languageEnglish (US)
Article number213092
JournalBMJ Case Reports
Volume2016
DOIs
StatePublished - Jan 11 2016

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Arteriovenous Fistula
Thigh
Atherectomy
Balloon Angioplasty
Hypesthesia
Femoral Artery
Ulcer
Stents
Aneurysm
Foot
Angiography
Therapeutics
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

A rare presentation of bilateral spontaneous superficial femoral arteriovenous fistulas. / Hwang, Inyong; Bomb, Kavita; Askari, Raza; Khouzam, Rami.

In: BMJ Case Reports, Vol. 2016, 213092, 11.01.2016.

Research output: Contribution to journalArticle

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