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- Title
Endovascular Treatment of a Forty-Year-Old Post-Traumatic Knee Arteriovenous Fistula.
- Authors
Theodoridis, Panagiotis; El Kanty, Aouatif E.; Kourampi, Islam; Iatrou, Nikolaos; Dimopoulos, Christos; Bisdas, Theodosios
- Abstract
Arteriovenous fistulas (AVFs) of the lower extremity are uncommon. The main causes are traumatic or iatrogenic, with 15% of traumatic AVFs occurring in the popliteal vessels. Herein, we present a 60-year–old female with a traumatic AVF caused after a car accident 40 years ago. The patient presented with right leg venous claudication and symptoms of congestive heart failure. Duplex ultrasound of lower limb vessels revealed an AVF at the distal part of the tibiofibular trunk. The patient was successfully managed with an endovascular approach using a coil-assisted covered endovascular repair technique of the tibiofibular bifurcation (CERTIFIB) with excellent results and distal vessels patency. At 3 months follow-up, patient presented with an impressive regression of 3 cm of the lower extremity oedema and improvement of both claudication and heart failure.
- Subjects
LEG physiology; WOUNDS &; injuries; TRAFFIC accidents; DUPLEX ultrasonography; THERAPEUTIC embolization; EDEMA; BLOOD vessels; COMPUTED tomography; ENDOVASCULAR surgery; MINIMALLY invasive procedures; HEART failure; TREATMENT effectiveness; ARTERIOVENOUS fistula; VASCULAR resistance; INTERMITTENT claudication; COMORBIDITY; KNEE injuries; PATIENT aftercare; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 6, p651
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744241237124