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Jornal Vascular Brasileiro

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

Abstract

MAUES FILHO, José Júlio Bechir  and  HAUTER, Heather Lynn. Endovascular treatment of traumatic subclavian arteriovenous fistula: case report. J. vasc. bras. [online]. 2018, vol.17, n.3, pp.248-251.  Epub Sep 06, 2018. ISSN 1677-5449.  http://dx.doi.org/10.1590/1677-5449.010317.

A 47-year-old male police officer presented at an outpatients consulting room complaining of exertional dyspnea and swelling and pain in the right arm. He had suffered a perforating gunshot wound of the right infraclavicular region 7 months previously. A chest tomography showed considerable dilatation of the subclavian and cervical veins and veins of the right upper limb, with no clear point of arteriovenous communication. His symptoms exacerbated and he was admitted to hospital before the date scheduled for treatment. He underwent endovascular treatment with an 8x100 mm Fluency covered stent that was placed in the right subclavian artery using the through-and-through technique. Control angiography showed that the fistulous defect had been completely sealed. There was significant relief of the symptoms on the first day after the operation. Traumatic lesions of the subclavian artery are rare, but can be associated with high morbidity and mortality rates. Penetrating trauma is the main cause and arteriovenous fistulas should be ruled out when evaluating penetrating injuries in vascular territories.

Keywords : arteriovenous fistula; vascular system injuries; wounds and injuries; endovascular procedures.

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