scholarly journals Hybrid treatment of arteriovenous fistula between popliteal vessels

2014 ◽  
Vol 13 (4) ◽  
pp. 325-329
Author(s):  
Adenauer Marinho de Oliveira Góes Junior ◽  
Salim Abdon Haber Jeha ◽  
Reinaldo Sérgio Monteiro Franco
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Femoral Artery ◽  
Gunshot Wound ◽  
Stent Grafts ◽  
Iatrogenic Injuries ◽  
Hybrid Treatment ◽  
Popliteal Vessels ◽  
Open Surgical Approach ◽  
Fistula Site

The authors describe treatment of a patient who presented an arteriovenous fistula between the popliteal vessels more than 20 years after a gunshot wound. The patient underwent endovascular treatment using Viabahn (Gore®) stent grafts, but, because of the large disparity in popliteal artery diameters proximal and distal of the fistula, the endovascular treatment was unsuccessful. The superficial femoral artery was then banded around the stent graft that was deployed previously. This improvised strategy allowed an open surgical approach to be performed far from the fistula site, reducing the risks of operating in a region with anatomic distortions and significant enlargement of the surrounding venous structures, which would certainly have increased the likelihood of iatrogenic injuries.

Arteriovenous fistula between the common femoral artery and vein secondary to transpelvic gunshot wound

2017 ◽  
Vol 82 (3) ◽  
pp. 646-648
Author(s):  
Juan A. Asensio ◽  
Oluwaseye A. Ogun ◽  
Michel Wagner ◽  
Charles J. Fox
Keyword(s):  
Arteriovenous Fistula ◽  
Femoral Artery ◽  
Gunshot Wound ◽  
Common Femoral Artery ◽  
The Common

Common Femoral Artery Anastomotic Pseudoaneurysm: Endovascular Treatment with Hemobahn Stent-Grafts

2000 ◽  
Vol 11 (9) ◽  
pp. 1179-1183 ◽  
Author(s):  
Elias N. Brountzos ◽  
Katerina Malagari ◽  
Alexandros Gougoulakis ◽  
Stylianos Argentos ◽  
Efthymia Alexopoulou ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Stent Grafts ◽  
Anastomotic Pseudoaneurysm

Surgical and endovascular treatment of a bilateral deep femoral artery aneurysm

2020 ◽  
Vol 30 (6) ◽  
pp. 945-946 ◽  
Author(s):  
Satoshi Okugi ◽  
Kazumasa Watanabe ◽  
Yoshifumi Kunii ◽  
Masaaki Koide
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Rare Case ◽  
Artery Aneurysm ◽  
Deep Femoral Artery ◽  
Stent Grafts ◽  
Postoperative Course ◽  
The Right ◽  
Deep Femoral Artery Aneurysm

Abstract We report the rare case of a 68-year-old man with a bilateral deep femoral artery aneurysm. Right-sided rupture was treated via plug embolization of the right deep femoral artery and ligation. In the following year, Viabahn® stent grafts were placed in the left superficial femoral artery to relieve occlusion and in the left deep femoral artery to treat the left aneurysm. The postoperative course of the patient was uneventful.

Endovascular Treatment of Arteriovenous Fistula After Gunshot Wound

2012 ◽  
Vol 21 (1) ◽  
pp. 6-8
Author(s):  
Orçun Ünal ◽  
Vedat Bakuy ◽  
Mustafa Seren ◽  
Ebru BAL POLAT ◽  
Ahmet Akgül
Keyword(s):  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Gunshot Wound

Hybrid treatment of multilevel revascularization in patients with peripheral arterial disease – a multi-centre study in Korea

VASA ◽  
2018 ◽  
Vol 47 (3) ◽  
pp. 235-241 ◽  
Author(s):  
Soon Cheon Lee ◽  
Jin Hyun Joh ◽  
Jeong-Hwan Chang ◽  
Hyung-Kee Kim ◽  
Jang Yong Kim ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Combined Treatment ◽  
Ankle Brachial Index ◽  
Primary Patency ◽  
Limb Ischaemia ◽  
University Hospitals ◽  
Multi Centre Study ◽  
Free Survival ◽  
Technical Success Rate ◽  
Hybrid Treatment

Abstract. Background: Endovascular treatment is an alternative first-line management for peripheral artery disease (PAD). Hybrid treatment (HT) is defined as a combined treatment for patients with PAD using endovascular and open surgery, simultaneously performed in an operating room. The results of HT are reportedly good for multilevel revascularization (MR) in patients with chronic limb ischaemia, and even in older high-risk patients. The goal of this study was to examine the clinical and haemodynamic outcomes of HT in patients who need MR. Patients and methods: Nine university hospitals in Korea participated in this multicentre study. A total of 134 patients with multilevel PAD underwent HT and MR. Patients were enrolled from July 2014 to June 2015 and were followed for 18 months. Results: The mean age of the patients was 68.8 ± 9.93 years and 88.1 % were men. Patients with Rutherford category 2 to 3 and 4 to 6 comprised 59.0 % and 42.0 % of the group, respectively. The technical success rate was 100 %. The primary patency rates at 12 and 18 months were 77.6 % and 63.9 %, respectively. The primary-assisted patency rates at 12 and 18 months were both 90.0 %. The pre-operative mean ankle brachial index (0.43 ± 0.23) increased to 0.87 ± 0.23 at six months post-operatively (t-test, p < 0.05). The amputation free survival rate was 97.1 %. Conclusions: Although outcomes of multilevel PAD are reportedly poor when endovascular treatment alone is used, we have shown that HT is a feasible alternative modality for patients with multilevel PAD, with satisfactory amputation-free survival and freedom from re-intervention rates.

Endovascular Treatment of Arteriovenous Fistula with Pseudoaneurysm at Popliteal Fossa Using a PTFE Stent-graft: A Case Report

2005 ◽  
Vol 52 (2) ◽  
pp. 107
Author(s):  
Jeong Yeol Choi ◽  
Dong Hyun Kim ◽  
Hyung Woo Oh ◽  
Jeong Hwan Jang ◽  
Jae Hee Oh ◽  
...  
Keyword(s):  
Case Report ◽  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Stent Graft ◽  
Popliteal Fossa

Transbrachial and transfemoral approaches combined with visceral protection for the treatment of juxtarenal aortoiliac occlusive disease: Technical issues and clinical outcomes

Vascular ◽  
2021 ◽  
pp. 170853812110232
Author(s):  
Peixian Gao ◽  
Changliang Li ◽  
Xuejun Wu ◽  
Gang Li ◽  
Dianning Dong ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Bare Metal Stents ◽  
Covered Stent ◽  
Occlusive Disease ◽  
Metal Stents ◽  
Infrarenal Aorta ◽  
Bare Metal ◽  
Stent Grafts ◽  
Aortoiliac Occlusive Disease

Purpose To evaluate the safety and efficacy of transbrachial and transfemoral approaches combined with visceral protection for the endovascular treatment of juxtarenal aortoiliac occlusive disease (AIOD) over an average 19-month follow-up period. Methods In this retrospective analysis, all patients with juxtarenal AIOD at a single institution were reviewed from June 2015 to January 2020. Patient characteristics, angiographic results, and follow-up outcomes were retrospectively recorded. The indications for treatment were critical limb threatening ischemia in 12 patients and bilateral claudication in five patients. Percutaneous access via the left brachial artery was first obtained to recanalize the infrarenal occluded lesions. After that, femoral accesses were achieved. A 4-Fr catheter, a 4 mm balloon, or a 6-Fr 90-cm-long sheath was used to complete visceral artery protection. Results A total of 17 juxtarenal AIOD patients (14 males; mean age, 63.4 ± 8.1 years) underwent endovascular treatment. The technical success rate was 100%. Complete reconstruction was achieved in 15 (88.2%) patients. The infrarenal aorta was reconstructed with kissing covered stent grafts ( n = 7), kissing bare-metal stents ( n = 2), covered stent grafts ( n = 2), bare-metal stents ( n = 1), or the off-label use of iliac limb stent grafts ( n = 5). Renal embolization was found in 3 (17.6%) patients during intraoperative angiography. There was 1 (5.9%) case of distal runoff embolization after CDT and 1 (5.9%) case of left iliac artery rupture. One (5.9%) death occurred due to acute myocardial infarction 20 days after the operation. The average follow-up period was 19.3 ± 16.7 months (range, 1–54 months) in the remaining 16 cases. The renal artery patency rate was 100%. The estimated cumulative primary patency rates were 92.3% at 12 months and 59.3% at 36 months according to the Kaplan–Meier method. Conclusions Transbrachial and transfemoral approaches combined with visceral protection offer a safe and effective alternative to open revascularization for the endovascular treatment of juxtarenal AIOD.

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