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

Leo Andrada, Daniel Link, Sara Dahle, Ramanjot Kaur, Yasmin Hadian, R. Rivkah Isseroff

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
JournalJournal of Foot and Ankle Surgery
DOIs
StateAccepted/In press - 2021

Keywords

  • 4
  • arteriovenous fistula
  • duplex ultrasound
  • foot lesion
  • plantar foot trauma
  • ultrasound-guided laser ablation
  • vascular injury

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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