Repair of a high-flow superficial femoral arteriovenous fistula using a bell-bottom iliac limb endoprosthesis

Autor: Sandeep Jhajj, MD, Rahul Kar, MD, Theodore H. Teruya, MD, Sheela T. Patel, MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 8, Iss 1, Pp 98-101 (2022)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2021.11.010
Popis: A 50-year-old patient had presented with recalcitrant right lower extremity venous stasis ulceration, atrial fibrillation, and congestive heart failure. He had a history of a gunshot wound to the right thigh >30 years previously, which had been managed without surgery. Computed tomography angiography indicated a fistulous communication between the right superficial femoral artery and vein with massively dilated right iliofemoral venous and arterial systems. He was treated with stent-graft coverage of the superficial femoral arteriovenous fistula using a bell-bottom iliac limb endoprosthesis. This stent-graft accommodated the diameter asymmetry in the superficial femoral artery caused by the long-standing fistula and ameliorated the symptoms that had afflicted him for decades.
Databáze: Directory of Open Access Journals