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Jornal Vascular Brasileiro

Print version ISSN 1677-5449On-line version ISSN 1677-7301

Abstract

GOES JUNIOR, Adenauer Marinho de Oliveira; JEHA, Salim Abdon Haber  and  FRANCO, Reinaldo Sérgio Monteiro. Hybrid treatment of arteriovenous fistula between popliteal vessels. J. vasc. bras. [online]. 2014, vol.13, n.4, pp.325-329. ISSN 1677-5449.  http://dx.doi.org/10.1590/1677-5449.0024.

The authors describe treatment of a patient who presented an arteriovenous fistula between the popliteal vessels more than 20 years after a gunshot wound. The patient underwent endovascular treatment using Viabahn (Gore®) stent grafts, but, because of the large disparity in popliteal artery diameters proximal and distal of the fistula, the endovascular treatment was unsuccessful. The superficial femoral artery was then banded around the stent graft that was deployed previously. This improvised strategy allowed an open surgical approach to be performed far from the fistula site, reducing the risks of operating in a region with anatomic distortions and significant enlargement of the surrounding venous structures, which would certainly have increased the likelihood of iatrogenic injuries.

Keywords : arteriovenous fistula; surgery; popliteal artery; popliteal vein; endovascular procedure; vascular system injuries.

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