Endovascular treatment of a posttraumatic femoral vein-profunda femoris artery fistula.
OBJECTIVE
To describe successful endovascular management of a posttraumatic arteriovenous fistula (AVF) when a covered stent is unavailable.


RESULTS
An AVF developed between the profunda femoris and the femoral vein in a 59-year-old man undergoing a total hip revision procedure. No covered stent being available, a Dacron plug was inserted on top of scaffolding created by a conventional stent and embolization coils. Successful control of hemorrhage and resolution of the AVF was documented. Pulmonary embolization was avoided by using this scaffolding technique.


CONCLUSIONS
Dacron can be used for occlusion of a medium-sized artery in an emergency situation in selected cases.
Deshpande
A
A
Department of Vascular Surgery, St. Vincent's Hospital, Melbourne, Australia.
Denton
M
M
D000792:Angiography; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001672:Biocompatible Materials; D019917:Blood Vessel Prosthesis Implantation; D005263:Femoral Artery / Q000293:injuries*; D005268:Femoral Vein / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D018616:Ultrasonography, Doppler, Duplex
D001672:Biocompatible Materials; D011093:Polyethylene Terephthalates