Endovascular Treatment of a Large Femoral Arteriovenous Fistula via Retroperitoneal Exposure of Iliac Artery

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• 作者：D.K. Papadimitriou ; E.A. Aslanidou ; G.N. Trellopoulos ; G.A. Pitoulias ; M.D. Tachtsi ; D.C. Christopoulos
• 关键词：Coronary subclavian steal syndrome ; Vertebral artery ; Antegrade ; Retrograde
• 刊名：EJVES Extra
• 出版年：2005
• 出版时间：July 2005
• 年：2005
• 卷：10
• 期：1
• 页码：5-7
• 全文大小：147 K

文摘

A 50-year-old, male patient with a known left post-thrombotic syndrome presented with giant limb oedema and a large femoral arteriovenous fistula. The patient was unable to walk. Due to hostile local tissue conditions, we decided to perform an endovascular treatment. Because of severe angulation and tortuosity of the left common iliac artery, a combined procedure with retroperitoneal exposure of the external iliac artery was necessary. A reversed tapered limb of an aortic stent-graft (20×16×10 cm³, Excluder, Gore) was introduced into the femoral artery and deployed just below the orifice of left profunda femoris. Intraoperative and post-operative angiography revealed the successful seal of the fistula and patency of femoral and distal arteries. The patient was ambulated on the 2nd post-operative day, and 10 months later shows significant clinical improvement.