Abstract
Endovascular covered stenting is a minimally invasive option for treating iatrogenic femoral access site complications, including arteriovenous femoral fistula (AVF). Reports on AVF repair mainly concern small bore devices, but large bore devices such as leadless pacemakers post unique challenges. We present 3 cases of iatrogenic femoral AVF after large-bore, 27Fr access sheath insertion for leadless pacemaker implantation. Both underwent endovascular balloon-expandable covered stenting, with resolution of AVF and durable long-term results. As patients referred for leadless pacemaker implantations are often frail with co-morbidities, endovascular stenting is an appealing alternative to open surgical repair for AVF.
Recommended Citation
Cheuk Yin Lai, Timothy Ho Him, Mark TK Tam, Guang-Ming Tan, Bryan P Yan, Iatrogenic femoral arteriovenous fistula after leadless pacemaker implantation treated with balloon-expandable stent: a report of three cases Journal of the Hong Kong College of Cardiology 2025;32(7) https://doi.org/10.55503/2790-6744.1576
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