Interventional treatment in vascular trauma: Case report

Arteriovenous fistula (AVF) is a frequently observed complication after gun-shot wounds that may be treated rapidly and without any issues with endovascular methods. In this article, we present the treatment of a 29-year-old male patient with AVF that developed from the superficial femoral artery (SFA) towards the femoral vein and was diagnosed in early period after the gun-shot wound. Diagnosis was established with multi-slice computed tomography angiography. A self-expandable, covered stent was deployed in the SFA via an intervention from the ipsilateral common femoral artery to close the arteriovenous transition area. Digital subtraction angiography performed after the procedure revealed the closure of AVF. Patient was discharged on postoperative Day one. Computed tomography angiography performed two weeks after discharge showed that the stent was patent, there was no migration, and the transition to the femoral vein was completely closed. Endovascular treatment of AVFs is a trouble-free treatment option that is rapid, that does not require general anesthesia, and that allows shorter hospitalization. Providing adequate training for surgery residents regarding materials and equipment is a significant issue that needs to be discussed in the new period of vascular surgery to enable the administration of the required endovascular interventions.