Closure of a Popliteal Arteriovenous Fistula Using an Autologous Vein-Covered Palmaz Stent

Purpose: To report the use of autologous vein to cover a stainless steel stent designated for repair of a traumatic popliteal arteriovenous (AV) fistula. Methods and Results: Autologous cephalic vein was harvested to cover a Palmaz biliary stent selected to close a traumatic popliteal AV fistula that persisted despite reparative attempts with balloon occlusion and coil embolization. The vein-covered stent was delivered percutaneously and deployed, successfully obliterating the vascular communication. Patency of the popliteal artery was documented arteriographically at 5 months, and symptomatic improvement continues at 10 months. Conclusion: The simplicity of this percutaneous approach and the use of autologous vein to cover endovascular prostheses create the possibility for evaluating this technique in myriad anatomical situations.

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Traumatic arteriovenous fistula: a 25-year delay in presentation

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa042 ◽

2020 ◽

Vol 2020 (3) ◽

Author(s):

Alexandra Stathis ◽

John Gan

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Popliteal Artery ◽

Stab Wound ◽

Duplex Ultrasound ◽

Posterior Tibial Artery ◽

Covered Stent ◽

Delayed Presentation ◽

Posterior Tibial ◽

History Of

Abstract A 64-year-old lady presented with a 6-month history of worsening unilateral leg swelling, with an audible bruit of the popliteal artery. Arterial duplex ultrasound confirmed the presence of an arteriovenous fistula (AVF) between the posterior tibial artery and vein. Upon thorough history, it was discovered that the patient had sustained a stab wound to this region some 25 years prior. The fistula was successfully managed endovascularly by means of a covered stent. This case highlights an unusual delayed presentation of an AVF and demonstrates the effectiveness of endovascular treatment of this condition.

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Abstract 1122‐000118: Covered Stent Placement for Treatment of a Dural Arteriovenous Fistula: Case Report and Literature Review

Stroke: Vascular and Interventional Neurology ◽

10.1161/svin.01.suppl_1.000118 ◽

2021 ◽

Vol 1 (S1) ◽

Author(s):

Shawn Moore ◽

Alex N Hoang ◽

Omar Tanweer

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Randomized Clinical Trials ◽

Case Series ◽

Transverse Sinus ◽

Covered Stent ◽

External Carotid ◽

Covered Stents ◽

Av Fistula ◽

Obliteration Rate

Introduction : Dural arteriovenous fistula (AVF) is a condition that can cause significant venous congestion, subarachnoid and/or intracranial hemorrhage. Endovascular treatment typically targets embolization of feeding arteries with the use of coils, adhesive or sclerotic agents. The purpose of this study is to illustrate a case of a dural AVF that underwent novel treatment via transvenous stenting with a Viabahn covered stent and review the current literature on this topic. Methods : Existing literature was searched using PubMed, Embase and Google Scholar using the terms covered stent and dural arteriovenous fistula. Results : 69‐year‐old female presents with pulsatile tinnitus, right scalp and ear pain. Diagnostic cerebral angiography performed revealing a right temporal dural AV fistula with feeding arteries from right external carotid artery (ECA) branches, right vertebral artery and right meningohypophyseal trunk (MHT) draining into transverse sinus. Therapeutic angiogram performed using a heparin‐coated (viabahn) covered stent and discharged home on aspirin monotherapy. A total of 1363 articles were yielded from the above search. There were 3 case series that included patients with similar pathology and endovascular approach as our case. Treatment included transvenous placement of stent +/‐ angioplasty. None of the cases used a covered stent. The use of open stents can lead to low DAVF obliteration rate, 43% cure rate combined series. There are no current randomized clinical trials investigating treatment of dural AVF with covered stents. Conclusions : ITreatment of dural AVF via transvenous approach with a heparin‐coated covered stent can an alternative option compared to open stents that may lead to higher DAVF obliteration rate. Covered stenting of dural venous sinus may be a cost‐effective alternative to sinus sacrifice.

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Direct Ascending Pharyngeal Artery to Jugular Vein Arteriovenous Fistula

Interventional Neuroradiology ◽

10.1177/159101990801400211 ◽

2008 ◽

Vol 14 (2) ◽

pp. 191-194 ◽

Cited By ~ 3

Author(s):

S.D. Tomsick ◽

T.A. Tomsick

Keyword(s):

Arteriovenous Fistula ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Balloon Occlusion ◽

Term Result ◽

Av Fistula ◽

Ascending Pharyngeal Artery ◽

Long Term Result ◽

Silicone Balloon

A 32-year-old female developed a bruit, determined to arise from a rare direct arteriovenous (AV) fistula from the ascending pharyngeal artery to the internal jugular vein. The fistula was treated by transarterial silicone balloon occlusion, with occlusion of fistulous flow, ablation of symptoms, and excellent long-term result.

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Successful coil embolization of the congenital intrahepatic arteriovenous fistula associated with intrahepatic portal vein aneurysm in an infant

European Journal of Radiology ◽

10.1016/s0720-048x(02)00084-0 ◽

2002 ◽

Vol 0 (0) ◽

pp. 0

Author(s):

T Sancak

Keyword(s):

Portal Vein ◽

Arteriovenous Fistula ◽

Coil Embolization ◽

Portal Vein Aneurysm

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Central Venous Occlusion in End-Stage Renal Failure—A Rare Mimic of Dural Arteriovenous Fistula (DAVF)

Journal of Stroke Medicine ◽

10.1177/25166085211016647 ◽

2021 ◽

Vol 4 (1) ◽

pp. 81-83

Author(s):

Sharath Kumar Goddu Govindappa ◽

Lakshminarayanapuram Gopal Viswanathan ◽

Shashidhar Kallappa Parameshwarappa ◽

Naveen Nayak ◽

Sujit Kumar ◽

...

Keyword(s):

Arteriovenous Fistula ◽

Dural Arteriovenous Fistula ◽

Rare Complication ◽

Venous Occlusion ◽

Venous Hypertension ◽

Brachiocephalic Vein ◽

Central Venous ◽

Av Fistula ◽

Central Venous Occlusion ◽

End Stage

Intracerebral hemorrhage is a devastating form of stroke and is more common in patients with hypertension and renal disease. We present the case of a lady suffering from chronic kidney disease who presented with severe headache and aphasia. On evaluation, she was found to have an intraparenchymal hemorrhage in the left temporal lobe with prominent pial and dural veins suggestive of a dural arteriovenous fistula (DAVF). Subsequently, she was detected to have occlusion of the left brachiocephalic vein (LBCV), which resulted in venous hypertension and resulted in this rare complication. Angioplasty followed by stenting of the LBCV resulted in subsidence of her symptoms. We wish to highlight this unusual but treatable complication of limb AV fistula which can mimic intracranial DAVF.

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Transvenous Coil Embolization of a Transverse-Sigmoid Sinus Dural Arteriovenous Fistula: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opaa454 ◽

2021 ◽

Author(s):

Santiago Gomez-Paz ◽

Yosuke Akamatsu ◽

Mohamed M Salem ◽

Justin M Moore ◽

Ajith J Thomas ◽

...

Keyword(s):

Carotid Artery ◽

Arteriovenous Fistula ◽

Coil Embolization ◽

Dural Arteriovenous Fistula ◽

External Carotid Artery ◽

Sigmoid Sinus ◽

Definitive Treatment ◽

External Carotid ◽

Type I ◽

Patient Consent

Abstract This case is a 66-yr-old woman with a 2-mo history of left-sided tinnitus. Workup with magnetic resonance angiography showed early opacification of the left sigmoid sinus and internal jugular vein as well as asymmetric and abundant opacification of the left external carotid artery branches, suspicious for a dural arteriovenous fistula (dAVF). Diagnosis was confirmed with cerebral angiography, consistent with a left-sided Cognard type I dAVF.1 Initial treatment attempt was made with transarterial 6% ethylene-vinyl alcohol copolymer (Onyx 18) embolization of feeders from the occipital and middle meningeal arteries. However, embolization was not curative and there was a recurrence of a highly bothersome tinnitus 3 wk following treatment. Angiography redemonstrated the transverse sinus dAVF with new recruitment arising from several feeders, including the left external carotid artery, middle meningeal artery, and superficial temporal artery, now Cognard type IIa. Definitive treatment through a transvenous coil embolization provided permanent obliteration of the fistula without recrudescence of symptoms on follow-up. In this video, the authors discuss the nuances of treating a dAVF via a transvenous embolization. Patient consent was given prior to the procedure, and consent and approval for this operative video were waived because of the retrospective nature of this manuscript and the anonymized video material.

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