Endovascular treatment with aortic endoprostheses for subclavian artery aneurysm secondary to late traumatic axillary-axillary arteriovenous fistula.

Autor:	Grillo VTRDS; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Jaldin RG; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Rosa FD; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Secondo MTS; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Farres Pimenta RE; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Bertanha M; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Sobreira ML; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil., Yoshida WB; Universidade Estadual 'Júlio de Mesquita Filho' - UNESP, Faculdade de Medicina de Botucatu, Hospital das Clínicas, Botucatu, SP, Brasil.
Jazyk:	angličtina
Zdroj:	Jornal vascular brasileiro [J Vasc Bras] 2022 Jan 07; Vol. 20, pp. e20210016. Date of Electronic Publication: 2022 Jan 07 (Print Publication: 2021).
DOI:	10.1590/1677-5449.210016
Abstrakt:	Traumatic arteriovenous fistulas (AVFs) involving the axillary and subclavian vessels are uncommon and account for 5 to 10% of all arterial traumas. The complex anatomy of this region makes treatment of this segment challenging. In this therapeutic challenge, we describe the case of a 73-year-old man, referred for progressive edema and ulceration involving the right upper limb and with a history of gunshot wound to the right infraclavicular region about 50 years previously. Angiotomography was performed and an axillary-axillary AVF was found, associated with tortuosity and aneurysmatic dilation of the subclavian artery downstream. He underwent endovascular intervention and a conical (monoiliac) 26 × 14 × 90 mm Braile® endoprosthesis was used in the aneurysmatic subclavian artery, posterior to the exit of the right vertebral artery and a 16 × 16 × 95mm Excluder® monoiliac endoprosthesis was placed overlapping the first prosthesis, showing a satisfactory result. Therefore, the possibility of successfully using aortic endoprostheses in an unusual and exceptional situation is described. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. (Copyright© 2021 The authors.)
Databáze:	MEDLINE
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