Postcatheterization femoral arteriovenous fistulas: endovascular treatment with stent-grafts

Cardiovascular and Interventional Radiology
Baran OnalSergin Akpek

Abstract

To report our results of stent-graft implantation for the endovascular treatment of postcatheterization femoral arteriovenous fistulas (AVFs) occurring between the deep femoral artery and the femoral vein. Endovascular treatment of iatrogenic femoral AVFs as a result of arterial puncture for coronary angiography and/or angioplasty was attempted in 10 cases. Balloon-expandable stent-grafts, one for each lesion, were used to repair the fistulas, which were between the deep femoral artery and the femoral vein in all cases. Stent-graft implantation to the deep femoral artery was performed by a contralateral retrograde approach. All stent-grafts were deployed successfully. Complete closure of the fistulas was accomplished immediately in nine of 10 cases. In one case, complete closure could not be obtained but the fact that the complaint subsided was taken to indicate clinical success. In three cases, side branch occlusion of the deep femoral artery occurred. No complications were observed after implantation. Follow-up for 8-31 months (mean 18.5 months) with color Doppler ultrasonography revealed patency of the stented arterial segments without recurrent arteriovenous shunting in those nine patients who had successful immediate closu...Continue Reading

Citations

Sep 13, 2006·Cardiovascular and Interventional Radiology·Daniel Giansante AbudJacques Moret
Feb 18, 2010·Cardiovascular and Interventional Radiology·Dimitrios Tsetis
Jan 1, 2011·Annals of Vascular Diseases·Kurian J MylankalDuncan F Ettles
Oct 10, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gabriel MaluendaNelson L Bernardo
Sep 13, 2012·Vascular and Endovascular Surgery·Patrick A Stone, John E Campbell
Nov 18, 2009·Vascular and Endovascular Surgery·Randall R De MartinoDavid H Stone
Jul 13, 2005·Cardiovascular and Interventional Radiology·Baran OnalBilgen Coskun

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