Color flow and image-directed Doppler ultrasound evaluation of iatrogenic arteriovenous fistulas in the groin.

Journal Article (Journal Article)

Color flow image-directed Doppler ultrasound was used to image 9 iatrogenic arteriovenous (AV) fistulas in the groin following femoral artery catheterization. Characteristic findings in the color images and spectral waveforms seen in most patients included (1) visible connection between the artery and vein (8 cases); (2) a multicolored speckled mass at the fistula site (7 cases); (3) spreading of color pixels into the extraluminal soft tissues (7 cases); (4) high diastolic flow in the arterial waveform proximal to the fistula site (7 cases); (5) decreased flow in the artery caudal to the fistula (5 cases); and (6) high velocity turbulent flow, sometimes with a pulsatile component, in the vein near the fistula (9 cases). The authors conclude that color flow imaging is useful in differentiating an AV fistula from other complications of femoral artery catheterization, such as pseudoaneurysm or hematoma.

Full Text

Duke Authors

Cited Authors

  • Roubidoux, MA; Hertzberg, BS; Carroll, BA; Hedgepeth, CA

Published Date

  • July 1, 1990

Published In

Volume / Issue

  • 18 / 6

Start / End Page

  • 463 - 469

PubMed ID

  • 2162853

International Standard Serial Number (ISSN)

  • 0091-2751

Digital Object Identifier (DOI)

  • 10.1002/jcu.1870180603


  • eng

Conference Location

  • United States