title: Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula.
abstract: This case report describes a new approach to repair a femoral arteriovenous fistula with a transluminally placed intraarterial graft-covered stent. A balloon-expandable stented polytetrafluoroethylene graft was inserted percutaneously to obliterate an arteriovenous fistula after a bullet injured the left superficial femoral artery and vein of an 18-year-old man. Follow-up duplex ultrasonography at 5 months demonstrated patency and luminal integrity of the involved artery and vein, with resolution of the associated pseudoaneurysm. Additional follow-up will be needed to further substantiate the utility of this minimally invasive procedure in the treatment of traumatic arterial injuries.
authors.affiliation: Division of Vascular Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY 10467.
authors.forename: M L
authors.initials: ML
authors.lastname: Marin
authors.forename: F J
authors.initials: FJ
authors.lastname: Veith
authors.forename: T F
authors.initials: TF
authors.lastname: Panetta
authors.forename: J
authors.initials: J
authors.lastname: Cynamon
authors.forename: H
authors.initials: H
authors.lastname: Barone
authors.forename: C
authors.initials: C
authors.lastname: Schonholz
authors.forename: J C
authors.initials: JC
authors.lastname: Parodi
mesh_terms: D000293:Adolescent; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000293:injuries*; D005268:Femoral Vein / Q000293:injuries*; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D015607:Stents; D014463:Ultrasonography; D014948:Wounds, Gunshot / Q000150:complications / Q000601:surgery*
chemical_list: D011138:Polytetrafluoroethylene