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Application of Intralesion Ultrasound-Guided Laser Ablation for Plantar Foot Mass Involving Arteriovenous Fistula: A Case Report

Published:September 18, 2021DOI:https://doi.org/10.1053/j.jfas.2021.03.019

      Abstract

      Penetrating and blunt trauma to the plantar aspect of the foot are common. Both penetrating and blunt trauma may be associated with an injury to the blood vessels, which may go undetected clinically. A minor puncture, blunt trauma and repeated blunt trauma can injure small arteries leading to an arteriovenous fistula (AVF). The arterial rupture leads to a system of veins creating a small AVF and appearing clinically as a blue colored, painful lesion. A case of such an injury is presented where the clinical examination, magnetic resonance arteriogram and point of service ultrasound with duplex imaging was used to diagnose the AVF. The AVF was treated in the clinic with a percutaneous ultrasound-guided laser procedure. The laser procedure was effective and there was minimal post procedural morbidity.

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      References

        • Alhaizaey A
        • Hussain MA
        • Aljabri B
        • Al-Omran M
        Aneurysms of the foot arteries.
        Vascular. 2016; 24: 109
        • Economou P
        • Paton R
        • Galasko CS
        Traumatic pseudoaneurysm of the lateral plantar artery in a child.
        J Pediatr Surg. 1993; 28: 626
        • Murakami AM
        • Chang A
        • Foo LF
        Traumatic lateral plantar artery pseudoaneurysm and the use of time-resolved MR angiography.
        HSS J. 2010; 6: 214
        • Thornton BP
        • Minion DJ
        • Quick R
        • Vasconez HC
        • Endean ED
        Pseudoaneurysm of the lateral plantar artery after foot laceration.
        J Vasc Surg. 2003; 37: 672
      1. Rui P, Kang K, Ashman JJ. National Hospital Ambulatory Medical Care Survey: 2016 Emergency Department Summary (2016) Available at: https://www.cdc.gov/nchs/data/nhamcs/web_tables/2016_ed_web_tables.pdf. Accessed September 17, 2019.

        • Rerkasem K
        Venous insufficiency due to chronic traumatic arteriovenous fistula: two case reports.
        Int J Low Extrem Wounds. 2005; 4: 249
        • Park SE
        • Kim JC
        • Ji JH
        • Kim YY
        • Lee HH
        • Jeong JJ
        Post-traumatic pseudoaneurysm of the medial plantar artery combined with tarsal tunnel syndrome: two case reports.
        Arch Orthop Trauma Surg. 2013; 133: 357
        • Bergstein JM
        • Blair JF
        • Edwards J
        • Towne JB
        • Wittmann DH
        • Aprahamian C
        • Quebbeman EJ
        Pitfalls in the use of color-flow duplex ultrasound for screening of suspected arterial injuries in penetrated extremities.
        J Trauma. 1992; 33: 395
        • Montorfano MA
        • Pla F
        • Vera L
        • Cardillo O
        • Nigra SG
        • Montorfano LM
        Point-of-care ultrasound and Doppler ultrasound evaluation of vascular injuries in penetrating and blunt trauma.
        Crit Ultrasound J. 2017; 9: 5
        • Tzermias C
        • Eleftheriadi A
        • Gkiouzepaki I
        Management of vascular lesions using advanced laser technology.
        J Surg Dermatol. 2017; 2: 115-125
        • Rosenberg TL
        • Richter GT
        Lasers in the treatment of vascular anomalies.
        Curr Otorhinolaryngol Rep. 2014; 2: 265
        • Azadgoli B
        • Baker RY
        Laser applications in surgery.
        Ann Transl Med. 2016; 4: 452
        • Cole PD
        • Sonabend ML
        • Levy ML
        Laser treatment of pediatric vascular lesions.
        Semin Plast Surg. 2007; 21: 159
        • Werner JA
        • Lippert BM
        • Gottschlich S
        • Folz BJ
        • Fleiner B
        • Hoeft S
        • Rudert H
        Ultrasound-guided interstitial Nd: YAG laser treatment of voluminous hemangiomas and vascular malformations in 92 patients.
        Laryngoscope. 1998; 108: 463
        • Fry WR
        • Smith RS
        • Sayers DV
        • Henderson VJ
        • Morabito DJ
        • Tsoi EK
        • Harness JK
        • Organ Jr, CH
        The success of duplex ultrasonographic scanning in diagnosis of extremity vascular proximity trauma.
        Arch Surg. 1993; 128: 1368