Endovascular Treatment of Arteriovenous Fistula After GunshotWound

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.