Proximal bleeding control obtained by a balloon catheter in the surgical repair of a left supraclavicular traumatic arteriovenous fistula.
Endovascular procedures offer various methods for the treatment of posttraumatic arteriovenous fistulas. We report the treatment of a posttraumatic arteriovenous fistula between the left subclavian artery and internal jugular vein combined with a large subclavian false aneurysm. To avoid left thoracotomy we attained control of arterial bleeding by means of a transfemorally introduced balloon catheter advanced into the left subclavian artery. We found that the combination of endovascular procedures with classical surgery can reduce the risks in the treatment of arteriovenous fistulas.
Nemes
A
A
Departement of Cardiovascular Surgery, Semmelweis Medical University, Budapest, Hungary.
Pintér
L
L
Hüttl
K
K
Biró
G
G
Acsády
G
G
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002404:Catheterization; D006489:Hemostatic Techniques; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging; D008297:Male; D019838:Neck Injuries; D011859:Radiography; D013348:Subclavian Artery / Q000000981:diagnostic imaging