Closure of a Surgically Created Arteriovenous Fistula with a Covered Stent-Graft in a Patient with Venous Ambulatory Hypertension.

Autor: Schmittling, Zachary C., McLafferty, Robert B., Ramsey, Don E., Hodgson, Kim J.
Předmět:
Zdroj: Vascular & Endovascular Surgery; Jul/Aug2005, Vol. 39 Issue 4, p363-366, 4p
Abstrakt: The purpose of this paper Is to report the use of a covered stent-graft in the endovascular treatment of a surgically created arteriovenous fistula. A 37-year-old woman with symptomatic venous ambulatory hypertension underwent a left common femoral vein-to-right common iliac vein bypass using 10 mm ringed polytetrafluoroethylene CPTFE) with creation of an arteriovenous (AV) fistula from the superficial femoral artery to the PTFE graft. At 1 year postoperatively. recurrent symptoms thought to be due to the arteriovenous fistula were treated by placement of an 8 mm × 10 cm Viabahn covered stent-graft, Placement was via crossover technique from the right common femoral artery using a 9 French sheath. At 2 months' follow-up symptoms had resolved, the AV fistula was occluded, and venous bypass remained patent. Focal arteriovenous fistulas of the proximal superficial femoral artery can be treated safely with a covered stent-graft via an endovascular approach. [ABSTRACT FROM AUTHOR]
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