Traumatic arteriovenous fistula 52 years after injury

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Traumatic arteriovenous fistula 52 years after injury Mohammed Chaudry, MD, William R. Flinn, MD, Kurtis Kim, MD, David G. Neschis, MD Journal of Vascular Surgery Volume 51, Issue 5, Pages 1265-1267 (May 2010) DOI: 10.1016/j.jvs.2009.11.080 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography angiogram demonstrating equal contrast opacification in both the dilated external iliac artery (short arrow) and dilated external iliac vein (long arrow) in a patient with a right groin AVF. Journal of Vascular Surgery 2010 51, 1265-1267DOI: (10.1016/j.jvs.2009.11.080) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Angiography performed via a left groin puncture demonstrating the dilated right ileo-femoral arteries (short arrow) and arterio-venous communication at the level of the deep femoral artery (long arrow). Journal of Vascular Surgery 2010 51, 1265-1267DOI: (10.1016/j.jvs.2009.11.080) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Mid-procedure angiography demonstrating proximal deep femoral arterial branches (arrow) filling the AVF and adjacent vein via collateral branches. B, Completion angiography following embolization of the AVF with maintained flow via the deep femoral artery branches and absence of flow in the adjacent veins. Journal of Vascular Surgery 2010 51, 1265-1267DOI: (10.1016/j.jvs.2009.11.080) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Follow-up computed tomography angiogram demonstrating lack of contrast in, and normalization in diameter of, right external iliac vein (long arrow). Note persistent dilation of the right external iliac artery (short arrow) in comparison to normal contralateral external iliac artery (arrowhead). Journal of Vascular Surgery 2010 51, 1265-1267DOI: (10.1016/j.jvs.2009.11.080) Copyright © 2010 Society for Vascular Surgery Terms and Conditions