Anastasiadou Christiana, Intzos Vasileios, Sifaki Freideriki, Symeonidis Savvas, Giankoulof Christos, Angelopoulos Stamatis, Megalopoulos Angelos
Department of Vascular and Endovascular Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Radiology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Vasc Specialist Int. 2024 Dec 16;40:39. doi: 10.5758/vsi.240082.
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.
主动脉腔静脉瘘通常与主髂动脉瘤相关，是一种罕见的血管疾病。目前，血管内治疗是首选的治疗方法。然而，血管内治疗需要频繁且长期的随访评估。在此，我们强调该疾病中一个值得注意的临床发现：搏动性股静脉的存在。此外，我们提出一种新颖、简单且易于实施的无辐射方法，用于术后评估瘘管是否存在或已闭合：股静脉的双功超声检查。虽然双功超声不能替代其他诊断方法，但该技术为监测提供了一种快速、经济高效且可重复的辅助手段。
