Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula.
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.
Marin
M L
ML
Division of Vascular Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY 10467.
Veith
F J
FJ
Panetta
T F
TF
Cynamon
J
J
Barone
H
H
Schonholz
C
C
Parodi
J C
JC
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*
D011138:Polytetrafluoroethylene