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Emergent stent graft isolation of a knife‐related subclavian arterial venous fistula: Lessons learned during long‐term follow‐up
Author(s) -
Bates Mark C.,
Campbell John
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.20566
Subject(s) - medicine , hemothorax , supraclavicular fossa , surgery , stent , angiography , radiology , subclavian artery , fistula , pneumothorax , cancer , breast cancer
We present the unusual case of a 42‐year‐old gentleman who entered the trauma center with a hemothorax and intermittent bright red pulsatile blood from three stab wounds in the ipsilateral supraclavicular fossa. The patient was found on emergent angiography to have a large right subclavian artery to vein fistula that was treated successfully with a Dacron‐covered stent. Angiography, 2 years following stent‐graft isolation, confirmed a durable result with evidence of hemodynamically insignificant neointimal growth through the pores of the graft material. This case provides insight into the long‐term effects of a Dacron‐covered stent in patients with traumatic arterial injury. We discussed the advantages and disadvantages of different graft materials based on these angiographic findings. © 2005 Wiley‐Liss, Inc.