Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2012 , Vol 21 , Issue 1
Endovascular Treatment of Arteriovenous Fistula After GunshotWound
Orçun ÜNAL, Vedat BAKUY, Mustafa SEREN, Ebru BAL POLAT, Ahmet AKGÜL
1Cardiovascular Surgery Clinic, Bakırköy Dr.Sadi Konuk Education and Research Hospital, İstanbul Acquired arterioveneous fistulas are not uncommon after gunshot wound events. We herein report a case of a 38 years old man with a diagnosis of delayed arteriovenous fistula (AVF) between superficial femoral artery (SFA) and femoral vein (FV) after gunshot wound in a left leg above knee. Diagnosis confirmed by multislice tomography and convential angiography. It was de- cided to exclude fistula by endovascular approach. A 13 mm endoprosthesis with a diameter of 10 mm was placed along the SFA by the introduction of an 11F sheath after contralateral femoral ar- tery insertion under local anesthesia. Postimplantation arteriography revealed normal flow through the SFA without evidence of leakage of contrast and any residual connections. This case illustrates that endovascular closure is a safe approach, with reduced morbidity, compared with open surgery. Keywords : Wounds, gunshot; arteriovenous fistula; angiography, digital subtraction
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