Peripheral Fistula is a medical condition that develops when there is an abnormal connection between an artery and a vein outside the heart or brain. The condition can occur anywhere in the body, but it is commonly found in the arms.
If left untreated, peripheral fistula can lead to several complications, including heart failure, aneurysms, and stroke.
Symptoms of Peripheral Fistula
The symptoms of peripheral fistula depend on the severity of the condition. Some of the common symptoms include:.
- Swelling or bulging of the affected area
- Palpable thrill or pulsation
- Dilated superficial veins
- Reduced blood pressure in the affected limb
- The affected limb feels colder than the unaffected limb
- Numbness or tingling sensation in the affected limb
Causes of Peripheral Fistula
Peripheral fistula can develop as a result of several factors, including:.
- Trauma
- Certain congenital defects
- Complications from medical procedures
- Arteriovenous malformations
- Blood vessel puncture
Diagnosis of Peripheral Fistula
Peripheral fistula can be detected through various diagnostic procedures, including:.
- Physical examination: The doctor will examine the affected area and check for any signs of swelling, pulsation, or thrill.
- Ultrasound: This imaging test will help the doctor to visualize the blood flow between the artery and vein.
- Magnetic resonance angiography (MRA): This imaging test uses magnetic fields to produce images of the blood vessels, which will help the doctor to get a clearer picture.
- Computed tomography angiography (CTA): This imaging test uses X-ray technology to create detailed images of the blood vessels.
Treatment of Peripheral Fistula
The treatment options for peripheral fistula depend on the severity of the condition. The goal of treatment is to close the abnormal connection between the artery and vein. Some of the common treatment options include:.
- Observation: In cases where the fistula is small and not causing any symptoms, the doctor may recommend close monitoring of the condition.
- Surgery: In severe cases, surgery may be necessary to close the fistula. The doctor will make an incision in the affected area and repair the blood vessels.
- Catheterization: This procedure involves inserting a catheter through the blood vessels to the site of the fistula. The catheter is used to deliver small coils or plugs that will block the abnormal connection.
- Embolization: In this procedure, the doctor will insert a small catheter through the blood vessels to the site of the fistula. They will then inject a substance that will block the abnormal connection.
Complications of Peripheral Fistula
If left untreated, peripheral fistula can lead to several complications, including:.
- Enlargement of the affected veins, leading to the formation of varicose veins
- Heart failure
- Aneurysms
- Stroke
- Reduced blood flow to the affected limb, leading to tissue damage
- Pulmonary hypertension
Prevention of Peripheral Fistula
Peripheral fistula cannot always be prevented, but there are some steps that can reduce the risk of developing the condition, including:.