title: Prosthetic Grafting and Arteriovenous Fistula for the Surgical Management of a Common Femoral Vein Injury Using a Staged Approach.
abstract: A 27-year-old female patient was referred due to an edematous left lower extremity. Both saphenous veins had been ablated with an endovenous laser procedure used to treat varicose veins. Venography revealed that the left common femoral vein had been divided and that thrombosis was present at the site of division. No veins were available around the thighs. The patient was treated using a staged procedure. During the first stage, a ringed polytetrafluoroethylene graft was used to repair the common femoral vein, and an arteriovenous fistula was constructed from the femoral artery to the graft using a short segment of cephalic vein to increase graft patency. The edema was relieved postoperatively and the graft was patent. During the second stage, which was performed 6 months later, the fistula was occluded by coil embolization. The staged procedure described herein provides an alternative for venous reconstruction when autologous vein is unavailable.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine.
authors.forename: Kuk Hui
authors.initials: KH
authors.lastname: Son
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine.
authors.forename: So Young
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Vascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine.
authors.forename: Jin Mo
authors.initials: JM
authors.lastname: Kang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine.
authors.forename: Chang Hu
authors.initials: CH
authors.lastname: Choi
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine.
authors.forename: Kook Yang
authors.initials: KY
authors.lastname: Park
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine.
authors.forename: Chul Hyun
authors.initials: CH
authors.lastname: Park
keywords: Femoral vein; Injuries; Surgery, complications; Varicose veins