Vasc Spec Int.
2024 Dec;40(4):39. 10.5758/vsi.240082.
Duplex Ultrasound of the Femoral Vein for Monitoring Endovascular Treatment of Aortocaval Fistula: A Case Report
- Affiliations
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- 1Departments of Vascular and Endovascular Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece
- 2Departments of Radiology, Aristotle University of Thessaloniki, Thessaloniki, Greece
- 3Departments of Anaesthesiology, Aristotle University of Thessaloniki, Thessaloniki, Greece
- 4Departments of Fourth Academic Surgical, Aristotle University of Thessaloniki, Thessaloniki, Greece
- KMID: 2564096
- DOI: http://doi.org/10.5758/vsi.240082
Abstract
- Aortocaval fistulas, typically linked to aortoiliac aneurysms, are rare vascular conditions. Currently, endovascular therapy is preferred treatment approach. However, endovascular therapy requires frequent and extended follow-up evaluations. Herein, we emphasize a noteworthy clinical finding in this disease: the presence of a pulsatile femoral vein. Additionally, we propose a novel, simple, and easily performed radiation-free method for postoperative assessment of fistula presence or resolution: duplex ultrasound of the femoral vein. While duplex ultrasound cannot substitute other diagnostic modalities, this technique offers a quick, cost-effective, and repeatable adjunct for monitoring.
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