Transvenous embolization of a spontaneous femoral AVF 5 years after an incomplete treatment with arterial stent-grafts


PEYNİRCİOĞLU B. , ÖZKAN M. , DOĞAN Ö. F. , ÇİL B. E. , DOĞAN R.

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, cilt.31, sa.2, ss.407-410, 2008 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Konu: 2
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1007/s00270-006-0167-8
  • Dergi Adı: CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Sayfa Sayıları: ss.407-410

Özet

A 66-year-old man with complex left femoral arterio-venous fistula (AVF) was first diagnosed after a deep venous thrombosis incident approximately 5 years ago. Partial treatment was performed by means of endografts along the superficial femoral artery, which remained patent for 5 years. The patient had been doing well until a couple of months ago when he developed severe venous stasis and ulcers of the left cruris, due to a high-flow nonhealing complex AVF with additional iliac vein occlusion. Therefore; the definitive treatment was performed by a unique endovascular technique combined with surgical venous bypass (femoro-femoral crossover saphenous bypass, the Palma operation). A novel percutaneous transvenous technique for occlusion of a complex high-flow AVF is reported with a review of the literature. The case is unique with spontaneous AVF, transvenous embolization with detachable coils and ONYX, and the hybrid treatment technique as well as the long-term patency of superficial femoral artery stent-grafts.