Closure of a popliteal arteriovenous fistula using an autologous vein-covered Palmaz stent.
OBJECTIVE
To report the use of autologous vein to cover a stainless steel stent designated for repair of a traumatic popliteal arteriovenous (AV) fistula.


RESULTS
Autologous cephalic vein was harvested to cover a Palmaz biliary stent selected to close a traumatic popliteal AV fistula that persisted despite reparative attempts with balloon occlusion and coil embolization. The vein-covered stent was delivered percutaneously and deployed, successfully obliterating the vascular communication. Patency of the popliteal artery was documented arteriographically at 5 months, and symptomatic improvement continues at 10 months.


CONCLUSIONS
The simplicity of this percutaneous approach and the use of autologous vein to cover endovascular prostheses create the possibility for evaluating this technique in myriad anatomical situations.
Dorros
G
G
William Dorros-Isadore Feuer Interventional Cardiovascular Disease Foundation, Ltd., Milwaukee, WI 53215, USA.
Joseph
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G
D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications / Q000628:therapy*; D002404:Catheterization; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology; D011150:Popliteal Artery / Q000601:surgery*; D011152:Popliteal Vein / Q000601:surgery*; D013193:Stainless Steel; D015607:Stents; D014182:Transplantation, Autologous; D014680:Veins / Q000637:transplantation*
D013193:Stainless Steel