Endovascular treatment of posttraumatic arteriovenous fistulas of the subclavian artery

Tsygankov V.N., Frantsevich A.M., Varava A.B.

Department of Roentgenosurgical Methods of Diagnosis and Treatment Institute of Surgery named after A.V. Vishnevsky under the Russian Federation Public Health Ministry, Moscow, Russia

The authors describe the use of different methods of endovascular treatment of patients with presenting with posttraumatic arteriovenous fistulas in the first segment of the subclavian artery exemplified by two clinical cases.

The first case report concerns a patient having developed was an arteriovenous fistula after catheterization of the jugular vein. The arteriovenous aneurysm was occluded by means of embolizing spirals.

In the second case report is patient having developed an arteriovenous fistula after a stab-and-slash wound in the area of the sternoclavicular junction. Long-term existence of the arteriovenous fistula was complicated by severe right-ventricular insufficiency. The arteriovenous fistula was separated by means of endoprosthetic repair of the first segment of the subclavian artery.

These case reports demonstrate possibilities of roentgenovascular methods of treatment making it possible to successfully replace a technically complicated, traumatic surgical intervention for false arteriovenous aneurysms.

KEY WORDS: arteriovenous fistula, subclavian artery, stent graft, embolizing spirals.

P. 159

« Back