Remission of heart failure through endoluminal repair of femoral arteriovenous fistula with the use of a covered stent.
We report the case of a 21-year-old male with high-output heart failure due to a femoral arteriovenous fistula caused by a firearm wound. A new balloon expandable stent covered with polytetrafluorethylene was implanted in the artery to occlude the arteriovenous fistula. The fistula was immediately occluded and the artery remained patent. On the following day, the patient felt much better, with no symptoms of heart failure. Additional follow-up is required to assure the usefulness of this less invasive procedure in the treatment of arteriovenous fistulas.
Hospital São Marcos, Teresina, PI, Brazil.
A
A
Portela
R
R
Bastos
B
B
Pessoa
R
R
Duarte
M
M
Medeiros
J
J
Paiva
D000328:Adult; D000800:Angioplasty, Balloon / Q000379:methods*; D001164:Arteriovenous Fistula / Q000150:complications / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000293:injuries; D005268:Femoral Vein / Q000293:injuries; D006333:Heart Failure / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D012074:Remission Induction; D015607:Stents; D014948:Wounds, Gunshot / Q000150:complications* / Q000628:therapy
D011138:Polytetrafluoroethylene