Liquid sclerotherapy for posttraumatic arteriovenous fistula of the radialis indicis artery

• Published in: Journal of vascular surgery Vol. 52; no. 5; pp. 1343 - 1345
• Main Authors: Katada, Yoshiaki, MD, Ouchi, Kunie, MD, Wakita, Toshihiko, MD, Nozaki, Miwako, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-11-2010; Elsevier
• Subjects: Adult; Arteriovenous Fistula - diagnostic imaging; Arteriovenous Fistula - therapy; Biological and medical sciences; Female; Fingers - blood supply; Humans; Medical sciences; Neurology; Polyethylene Glycols - therapeutic use; Sclerosing Solutions - therapeutic use; Sclerotherapy; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tomography, X-Ray Computed; Treatment Outcome; Vascular diseases and vascular malformations of the nervous system; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Wounds, Nonpenetrating - diagnostic imaging; Wounds, Nonpenetrating - therapy; Arterial disease; Vascular disease; Arteriovenous aneurysm; Surgery; Cardiovascular disease; Congenital disease; Sclerotherapy; Arteriovenous malformation; Venous disease
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2010.05.092

We report the case of a 40-year-old woman with posttraumatic arteriovenous fistula of the right radialis indicis artery. The patient was admitted because a pulsatile lesion appeared on her hand after blunt trauma. Liquid sclerotherapy using 3% polidocanol in combination with distal protection using the rubber band technique was undertaken, which resulted in complete disappearance of the arteriovenous fistula. At 1 year after the endovascular therapy, the arteriovenous fistula had completely disappeared, and no further complications had occurred.