Technical management of traumatic arteriovenous fistula: Tips and tricks

Int J Surg Case Rep. 2020:76:468-473. doi: 10.1016/j.ijscr.2020.10.016. Epub 2020 Oct 8.

Abstract

Introduction: Traumatic Arteriovenous Fistulas (AVFs) are a rare complication of vascular injuries and pose a problem of topographic diagnosis and therapeutic management. Delayed treatment may cause cardiac and trophic complications.

Presentation of cases: We describe 4 cases of AVFs complicating stab wounds of the lower limb, associated in 2 cases with pseudoaneurysms.

Discussion: In two cases we performed a surgical repair, whereas in the other 2 patients we choose an endovascular treatment with wall graft stent placement.

Conclusion: All traumatic AVFs must be treated to avoid vascular, local and general complications. Using both techniques, we had great results with no complications.

Keywords: Arteriovenous fistula; Endovascular; Pseudoaneurysm; Stent-graft; Surgery.

Publication types

  • Case Reports