Venous ulcer: Late complication of a traumatic arteriovenous fistula

Calvin J. Young; Alan Dardik; Bauer Sumpio; Jeff Indes; Bart Muhs; Cassius I. Ochoa Chaar

doi:10.1016/j.avsg.2014.11.020

Venous ulcer: Late complication of a traumatic arteriovenous fistula

Calvin J. Young, Alan Dardik, Bauer Sumpio, Jeff Indes, Bart Muhs, Cassius I. Ochoa Chaar

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Arteriovenous fistula (AVF) formation after penetrating trauma is a well-described phenomenon. However, diagnosis of traumatic AVF is frequently delayed as patients often do not have hard signs of vascular injury at the initial presentation. Late complications of traumatic AVF include arterial and venous dilatation, distal ischemia, venous congestion, and congestive heart failure. This case report describes a traumatic femoral AVF causing distal venous ulceration 3 years after the injury. The AVF was treated with open repair. In the operating room, the Nicoladoni-Branham sign was elicited. The ulcer healed at 1 month and has not recurred at 1-year follow-up.

Original language	English (US)
Pages (from-to)	836.e1-836.e3
Journal	Annals of Vascular Surgery
Volume	29
Issue number	4
DOIs	https://doi.org/10.1016/j.avsg.2014.11.020
State	Published - May 1 2015
Externally published	Yes

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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title = "Venous ulcer: Late complication of a traumatic arteriovenous fistula",

abstract = "Arteriovenous fistula (AVF) formation after penetrating trauma is a well-described phenomenon. However, diagnosis of traumatic AVF is frequently delayed as patients often do not have hard signs of vascular injury at the initial presentation. Late complications of traumatic AVF include arterial and venous dilatation, distal ischemia, venous congestion, and congestive heart failure. This case report describes a traumatic femoral AVF causing distal venous ulceration 3 years after the injury. The AVF was treated with open repair. In the operating room, the Nicoladoni-Branham sign was elicited. The ulcer healed at 1 month and has not recurred at 1-year follow-up.",

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AU - Young, Calvin J.

AU - Dardik, Alan

AU - Sumpio, Bauer

AU - Indes, Jeff

AU - Muhs, Bart

AU - Ochoa Chaar, Cassius I.

PY - 2015/5/1

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AB - Arteriovenous fistula (AVF) formation after penetrating trauma is a well-described phenomenon. However, diagnosis of traumatic AVF is frequently delayed as patients often do not have hard signs of vascular injury at the initial presentation. Late complications of traumatic AVF include arterial and venous dilatation, distal ischemia, venous congestion, and congestive heart failure. This case report describes a traumatic femoral AVF causing distal venous ulceration 3 years after the injury. The AVF was treated with open repair. In the operating room, the Nicoladoni-Branham sign was elicited. The ulcer healed at 1 month and has not recurred at 1-year follow-up.

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Venous ulcer: Late complication of a traumatic arteriovenous fistula

Abstract

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