Posttraumatic arteriovenous fistula of the lower extremity and the pathological characteristic-case series and literature review.
Changhuai HePin YeXun CaiYiqing LiChuanqi CaiPublished in: Journal of surgical case reports (2023)
The clinical presentation, treatment history, and outcomes of two patients with posttraumatic arteriovenous fistula (PTAVF) were analyzed and compared with the pathological tissues of patients with hemodialysis arteriovenous fistula (HAVF). A search of the biomedical literature database (PubMed), using the keywords " lower extremity" and "PTAVF," was conducted to obtain results and review the data. Postoperative histological analysis of patients with PTAVF showed differences from that of HAVF. The literature screening and analysis revealed that PTAVF is a chronic progressive process, with 70% of patients diagnosed after 3 months. The choice of treatment revealed that 20% of patients had severe complications and all were treated endovascularly. Due to the abnormal fistula of PTAVF and its specific histopathological features, the disease is not self-limiting. It is unwise to wait for PTAVF to cause "failure." We recommend early and timely cure of this disease by surgery to avoid serious complications.
Keyphrases
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- peritoneal dialysis
- ejection fraction
- systematic review
- risk factors
- emergency department
- patients undergoing
- machine learning
- patient reported outcomes
- acute coronary syndrome
- case report
- weight loss
- decision making
- insulin resistance
- artificial intelligence
- big data
- smoking cessation