Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula

M L Marin, F J Veith, T F Panetta, J Cynamon, H Barone, C Schonholz, J C Parodi
Journal of Vascular Surgery 1993, 18 (2): 299-302
This case report describes a new approach to repair a femoral arteriovenous fistula with a transluminally placed intraarterial graft-covered stent. A balloon-expandable stented polytetrafluoroethylene graft was inserted percutaneously to obliterate an arteriovenous fistula after a bullet injured the left superficial femoral artery and vein of an 18-year-old man. Follow-up duplex ultrasonography at 5 months demonstrated patency and luminal integrity of the involved artery and vein, with resolution of the associated pseudoaneurysm. Additional follow-up will be needed to further substantiate the utility of this minimally invasive procedure in the treatment of traumatic arterial injuries.

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