Endovascular repair of a traumatic arteriovenous fistula involving the iliac bifurcation using an iliac branch device

Endovascular techniques have shown to be useful in the management of vascular injuries because they transform a complex and potentially dangerous procedure into a safe one. We present the case of a 39-year-old man with congestive heart failure and abdominal bruit 11 years after an abdominal gunshot...

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Bibliographic Details
Published in:Journal of vascular surgery 2012-05, Vol.55 (5), p.1474-1476
Main Authors: Queiroz, André Brito, MD, Mulatti, Grace Carvajal, MD, Aun, Ricardo, PhD, Valentim, Luisa Assis, MD, Puech-Leão, Pedro, PhD
Format: Article
Language:English
Subjects:
Adult
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - etiology
Arteriovenous Fistula - surgery
Biological and medical sciences
Blood and lymphatic vessels
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Endovascular Procedures - instrumentation
Humans
Iliac Artery - diagnostic imaging
Iliac Artery - injuries
Iliac Artery - surgery
Iliac Vein - diagnostic imaging
Iliac Vein - injuries
Iliac Vein - surgery
Male
Medical sciences
Phlebography
Prosthesis Design
Stents
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular System Injuries - diagnostic imaging
Vascular System Injuries - etiology
Vascular System Injuries - surgery
Wounds, Gunshot - complications
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Description
Summary:Endovascular techniques have shown to be useful in the management of vascular injuries because they transform a complex and potentially dangerous procedure into a safe one. We present the case of a 39-year-old man with congestive heart failure and abdominal bruit 11 years after an abdominal gunshot wound. Imaging studies revealed an arteriovenous fistula involving the left iliac artery bifurcation, and an iliac branch device was used to treat it. Symptoms resolved, and follow-up imaging showed patency of the graft and closure of the arteriovenous communication. To our knowledge, this is the first report of a nonaneurysmal disease treated with this device.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2011.12.006