Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Traumatic Popliteal Arteriovenous Fistula: Diagnostic Methods and Surgical Management

Traumatic Popliteal Arteriovenous Fistula: Diagnostic Methods and Surgical Management Abstract • The popliteal vessels rank second only to the external iliac system as the most frequent site of acquired arteriovenous communication. Direct trauma to the popliteal space is by far the most common cause, and surgical intervention is usually required to manage the defect. We present a recent illustrative case following meniscectomy. To our knowledge, the occurrence of an arteriovenous fistula complicating knee surgery has not been reported previously. This case outlines the potential value of B-mode ultrasound in diagnosis and the use of intraoperative angiography in assessing the adequacy of primary vascular reconstruction. Earlier experience of this vascular abnormality–six additional cases since 1941–is reviewed. (Arch Surg 112:849-852, 1977) References 1. Hughes CW, Jahnke EJ Jr: The surgery of traumatic arteriovenous fistulas and aneurysms: A five-year follow-up study of 215 lesions . Ann Surg 148:790-797, 1958.Crossref 2. Rich NM, Hobson RW II, Collins GJ Jr: Traumatic arteriovenous fistulas and false aneurysms: A review of 558 lesions . Surgery 78:817-827, 1975. 3. Seeley SF, Hughes CW, Cook FN, et al: Traumatic arteriovenous fistulas and aneurysms in war wounded: A study of 101 cases . Am J Surg 83:471-479, 1952.Crossref 4. Fromm SH, Lucas CE: Obturator bypass for mycotic aneurysm in the drug addict . Arch Surg 100:82-83, 1970.Crossref 5. Joos FE, Basyn MLJ, Michielsen P: An unusual type of arterio-venous fistula: An anaplastic sarcoma of the femoral artery . J Cardiovasc Surg 14:348-352, 1973. 6. Fairbairn JF II, Juergens JL, Spittell JA Jr: Allen-Barker-Hines Peripheral Vascular Diseases , ed 4. Philadelphia, WB Saunders Co, 1972. 7. Leopold GR, Goldberger LE, Bernstein EF: Ultrasonic detection and evaluation of abdominal aortic aneurysms . Surgery 72:939-944, 1972. 8. Nusbaum JW, Freimanis AK, Thomford NR: Echography in the diagnosis of abdominal aortic aneurysm . Arch Surg 102:385-388, 1971.Crossref 9. McDonald DG, Leopold GR: Ultrasound B-scanning in the differentiation of Baker's cyst and thrombophlebitis . Br J Radiol 45:729-732, 1972.Crossref 10. Meire HB, Lindsay DJ, Swinson DR, et al: Comparison of ultrasound and positive contrast arthrography in the diagnosis of popliteal and calf swellings . Ann Rheum Dis 33:221-224, 1974.Crossref 11. Carpenter JR, Hattery RR, Hunder GG, et al: Ultrasound evaluation of the popliteal space: Comparison with arthrography and physical examination . Mayo Clin Proc 51:498-503, 1976. 12. Smith BF Jr, Maloney JD, Pairolero PC, et al: Ultrasound evaluation of abdominal aortic aneurysms , abstracted. Circulation 54( (suppl 2) ):12, 1976.Crossref 13. Seward JB, Tajik AJ, Spangler JG, et al: Echocardiographic contrast studies: Initial experience . Mayo Clin Proc 50:163-192, 1975. 14. Lichti EL, Erickson TG: Traumatic arteriovenous fistula: Clinical evaluation and intraoperative monitoring with the Doppler ultrasonic flowmeter . Am J Surg 127:333-335, 1974.Crossref 15. Dardik H, Dardik I: Popliteal aneurysm thrombosis simulating femoral embolic occlusion: Value of intraoperative transfemoral arteriography . Am Surg 40:293-296, 1974. 16. Liddicoat JE, Bekassy SM, DeBakey ME: Intraoperative arteriography during femoral-popliteal bypass . Arch Surg 110:839-840, 1975.Crossref 17. Montales E, Yao ST, Silva YJ: Management of traumatic peripheral arteriovenous fistulas . J Trauma 13:161-165, 1973.Crossref 18. Hewitt RL, Smith AD, Drapanas T: Acute traumatic arteriovenous fistulas . J Trauma 13:901-906, 1973.Crossref 19. Drapanas T, Hewitt RL, Weichert RF, et al: Civilian vascular injuries: A critical appraisal of three decades of management . Ann Surg 172:351-360, 1970.Crossref 20. Robson LJ, Walls CE, Swanson AB: Popliteal artery obstruction following Shiers total knee replacement: A case report . Clin Orthop 109:130-133, 1975.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Traumatic Popliteal Arteriovenous Fistula: Diagnostic Methods and Surgical Management

Loading next page...
 
/lp/american-medical-association/traumatic-popliteal-arteriovenous-fistula-diagnostic-methods-and-ibtHaHsQ0s
Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370070063008
Publisher site
See Article on Publisher Site

Abstract

Abstract • The popliteal vessels rank second only to the external iliac system as the most frequent site of acquired arteriovenous communication. Direct trauma to the popliteal space is by far the most common cause, and surgical intervention is usually required to manage the defect. We present a recent illustrative case following meniscectomy. To our knowledge, the occurrence of an arteriovenous fistula complicating knee surgery has not been reported previously. This case outlines the potential value of B-mode ultrasound in diagnosis and the use of intraoperative angiography in assessing the adequacy of primary vascular reconstruction. Earlier experience of this vascular abnormality–six additional cases since 1941–is reviewed. (Arch Surg 112:849-852, 1977) References 1. Hughes CW, Jahnke EJ Jr: The surgery of traumatic arteriovenous fistulas and aneurysms: A five-year follow-up study of 215 lesions . Ann Surg 148:790-797, 1958.Crossref 2. Rich NM, Hobson RW II, Collins GJ Jr: Traumatic arteriovenous fistulas and false aneurysms: A review of 558 lesions . Surgery 78:817-827, 1975. 3. Seeley SF, Hughes CW, Cook FN, et al: Traumatic arteriovenous fistulas and aneurysms in war wounded: A study of 101 cases . Am J Surg 83:471-479, 1952.Crossref 4. Fromm SH, Lucas CE: Obturator bypass for mycotic aneurysm in the drug addict . Arch Surg 100:82-83, 1970.Crossref 5. Joos FE, Basyn MLJ, Michielsen P: An unusual type of arterio-venous fistula: An anaplastic sarcoma of the femoral artery . J Cardiovasc Surg 14:348-352, 1973. 6. Fairbairn JF II, Juergens JL, Spittell JA Jr: Allen-Barker-Hines Peripheral Vascular Diseases , ed 4. Philadelphia, WB Saunders Co, 1972. 7. Leopold GR, Goldberger LE, Bernstein EF: Ultrasonic detection and evaluation of abdominal aortic aneurysms . Surgery 72:939-944, 1972. 8. Nusbaum JW, Freimanis AK, Thomford NR: Echography in the diagnosis of abdominal aortic aneurysm . Arch Surg 102:385-388, 1971.Crossref 9. McDonald DG, Leopold GR: Ultrasound B-scanning in the differentiation of Baker's cyst and thrombophlebitis . Br J Radiol 45:729-732, 1972.Crossref 10. Meire HB, Lindsay DJ, Swinson DR, et al: Comparison of ultrasound and positive contrast arthrography in the diagnosis of popliteal and calf swellings . Ann Rheum Dis 33:221-224, 1974.Crossref 11. Carpenter JR, Hattery RR, Hunder GG, et al: Ultrasound evaluation of the popliteal space: Comparison with arthrography and physical examination . Mayo Clin Proc 51:498-503, 1976. 12. Smith BF Jr, Maloney JD, Pairolero PC, et al: Ultrasound evaluation of abdominal aortic aneurysms , abstracted. Circulation 54( (suppl 2) ):12, 1976.Crossref 13. Seward JB, Tajik AJ, Spangler JG, et al: Echocardiographic contrast studies: Initial experience . Mayo Clin Proc 50:163-192, 1975. 14. Lichti EL, Erickson TG: Traumatic arteriovenous fistula: Clinical evaluation and intraoperative monitoring with the Doppler ultrasonic flowmeter . Am J Surg 127:333-335, 1974.Crossref 15. Dardik H, Dardik I: Popliteal aneurysm thrombosis simulating femoral embolic occlusion: Value of intraoperative transfemoral arteriography . Am Surg 40:293-296, 1974. 16. Liddicoat JE, Bekassy SM, DeBakey ME: Intraoperative arteriography during femoral-popliteal bypass . Arch Surg 110:839-840, 1975.Crossref 17. Montales E, Yao ST, Silva YJ: Management of traumatic peripheral arteriovenous fistulas . J Trauma 13:161-165, 1973.Crossref 18. Hewitt RL, Smith AD, Drapanas T: Acute traumatic arteriovenous fistulas . J Trauma 13:901-906, 1973.Crossref 19. Drapanas T, Hewitt RL, Weichert RF, et al: Civilian vascular injuries: A critical appraisal of three decades of management . Ann Surg 172:351-360, 1970.Crossref 20. Robson LJ, Walls CE, Swanson AB: Popliteal artery obstruction following Shiers total knee replacement: A case report . Clin Orthop 109:130-133, 1975.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1977

References