Closure of a surgically created arteriovenous fistula with a covered stent-graft in a patient with venous ambulatory hypertension--a case report.
The purpose of this paper is to report the use of a covered stent-graft in the endovascular treatment of a surgically created arteriovenous fistula. A 37-year-old woman with symptomatic venous ambulatory hypertension underwent a left common femoral vein-to-right common iliac vein bypass using 10 mm ringed polytetrafluoroethylene (PTFE) with creation of an arteriovenous (AV) fistula from the superficial femoral artery to the PTFE graft. At 1 year postoperatively, recurrent symptoms thought to be due to the arteriovenous fistula were treated by placement of an 8 mm x 10 cm Viabahn covered stent-graft. Placement was via crossover technique from the right common femoral artery using a 9 French sheath. At 2 months' follow-up symptoms had resolved, the AV fistula was occluded, and venous bypass remained patent. Focal arteriovenous fistulas of the proximal superficial femoral artery can be treated safely with a covered stent-graft via an endovascular approach.
Schmittling
Zachary C
ZC
Division of Vascular Surgery, Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL 62794, USA.
McLafferty
Robert B
RB
Ramsey
Don E
DE
Hodgson
Kim J
KJ
D000328:Adult; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002404:Catheterization / Q000295:instrumentation*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D011183:Postoperative Complications / Q000628:therapy*; D015607:Stents; D014690:Venous Pressure; D020246:Venous Thrombosis / Q000503:physiopathology / Q000601:surgery*