Traumatic arteriovenous fistulae

False Traumatic Aneurysms and Arteriovenous Fistulas: Retrospective Analysis

“…The most common finding during examination of a TAVF is a thrill above the fistula [23][24][25][26][27]. Less common findings included a pulsatile mass (9.7%), palpable thrill (14.1%), distal pulse deficit (11.6%), and nerve compression (10.8%).…”

Major arterial trauma: Review of experience with 267 injuries

“…Early diagnosis is the result of alertness on the part of the clinician (Patman et al, 1964;Golman et al, 1965;Drapanas et al, 1970;Perry et al, 1971;Little and May, 1972;Pradhan et al, 1972;Wright and Edwards, 1973;Lord and Irani, 1974;Smith et al, 1974;Waddell and Lenczner, 1974;Hardy et al, 1975;Hegarty et al, 1975;Rich et al, 1975a;Gile et al, 1976). We have been struck by the frequency with which proximal upper limb arterial damage is associated with complications related to haemorrhage and false aneurysm formation, whereas overt ischaemia is infrequent because of the rich collateral network.…”

“…The value of angiography when dealing with arterial trauma is well recognized (Patman et al, 1964;Golman et al, 1965;Doty et al, 1967;Drapanas et al, 1970;Perry et al, 1971;Little and May, 1972;Piyachon and Arthachinta, 1973;Reul et al, 1973;Wright and Edwards, 1973;Lord and Irani, 1974;Smith et al, 1974;Hardy et al, 1975;Hegarty et al, 1975;Rich et al, 1975a;Bole et al, 1976;Hewitt et al, 1976;Robbs and Baker, 1977), but few authors advocate its routine use. Certainly, lower limb arterial disruption can be diagnosed and localized by clinical examination, and angiography should never delay operation (Golman et al, 1965;Smith et a]., 1974;Waddell and Lenczner, 1974).…”

“…A less certain indication for radiographic studies is in the delineation of arteriovenous fistulas (Hegarty et al, 1975;Rich et al, 1975b); interpretation may be difficult and misleading in view of the rapid circulation (Hewitt et al, 1973;Montales et a]., 1973). Finally, routine intraoperative angiography has been advocated to prevent early failures due to technical error (Rich et al, 1975a;Bole et al, 1976), but we have no experience of this.…”

False Aneurysms

“…These lesions require prompt treatment. The treatment is relatively simple if the interval between injury and operation is not long [8,14,[25][26][27][28][29][30][31]. Primary arterial repair without grafting is usually not feasible in late-presenting cases owing to the chronic nature of the FTA and the presence of fibrosis and inflammation.…”