Repair of a high-flow superficial femoral arteriovenous fistula using a bell-bottom iliac limb endoprosthesis

Sandeep Jhajj; Rahul Kar; Theodore H Teruya; Sheela T Patel

doi:10.1016/j.jvscit.2021.11.010

Repair of a high-flow superficial femoral arteriovenous fistula using a bell-bottom iliac limb endoprosthesis

J Vasc Surg Cases Innov Tech. 2022 Jan 5;8(1):98-101. doi: 10.1016/j.jvscit.2021.11.010. eCollection 2022 Mar.

Authors

Sandeep Jhajj¹, Rahul Kar¹, Theodore H Teruya¹, Sheela T Patel¹

Affiliation

¹ Division of Vascular Surgery, Loma Linda University, Loma Linda, Calif.

Abstract

A 50-year-old patient had presented with recalcitrant right lower extremity venous stasis ulceration, atrial fibrillation, and congestive heart failure. He had a history of a gunshot wound to the right thigh >30 years previously, which had been managed without surgery. Computed tomography angiography indicated a fistulous communication between the right superficial femoral artery and vein with massively dilated right iliofemoral venous and arterial systems. He was treated with stent-graft coverage of the superficial femoral arteriovenous fistula using a bell-bottom iliac limb endoprosthesis. This stent-graft accommodated the diameter asymmetry in the superficial femoral artery caused by the long-standing fistula and ameliorated the symptoms that had afflicted him for decades.

Keywords: Arteriovenous fistula; Stent-graft; Superficial femoral artery.

Publication types

Case Reports