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The thrill is gone: Catheter‐based exclusion of a posttraumatic arteriovenous fistula with a covered stent graft
Author(s) -
Halabi Abdul R.,
Kandzari David E.
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20393
Subject(s) - medicine , surgery , percutaneous , stent , arteriovenous fistula , embolization , radiology , catheter , fistula , occlusion , balloon
Abstract Posttraumatic arteriovenous (AV) fistulae of the lower extremities may result from accidental trauma or iatrogenic surgical injuries. Large high‐flow fistulae are commonly associated with disabling localized symptoms and impaired wound healing. Therapeutic options are particularly challenging for AV fistulae involving the infrapopliteal circulation. Surgical repair may further delay healing and contribute to greater morbidity. Alternatively, percutaneous coil occlusion in large high‐flow fistulae mayenable coil embolization to the pulmonary circulation. Using a balloon‐expandable covered stent graft, we describe the percutaneous exclusion of a large posttraumatic infrapopliteal AV fistula with immediate clinical symptom improvement and resolution within 3 months following intervention. No clinical symptom recurrence was documented at a 9‐month follow‐up visit. © 2005 Wiley‐Liss, Inc.