June 1986

Arteriovenous Fistula Following Central Venous Catheterization

Author Affiliations

From the Second Department of Surgery (Drs Sato, Tada, and Idezuki) and Department of Thoracic Surgery (Dr Sudo), Faculty of Medicine, University of Tokyo; Second Department of Surgery, Yamanashi Medical College, Kofu, Yamanashi Prefecture, Japan (Dr Ueno); and Department of Surgery, Asahi Chuou Hospital, Asahi, Chiba Prefecture, Japan (Dr Nobori).

Arch Surg. 1986;121(6):729-731. doi:10.1001/archsurg.1986.01400060127020

• We surgically obliterated arteriovenous fistulas in three cases that developed after subclavian catheterization. The first patient presented with heart failure two years after the catheterization, and the other two presented with asymptomatic continuous bruits. The intervals between the removal of the catheter and the appearance of the bruit were 1.5 years, three days, and two months. It took another six months for the appearance of heart failure in the first case. The feeder of the fistula was a branch of the subclavian artery in all cases. In previously reported cases, there was usually some interval between the removal of the catheter and detection of the fistula, and the feeder was much more commonly one of the branches of the subclavian artery than the subclavian artery itself.

(Arch Surg 1986;121:729-731)