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Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula  Michael L. Marin, MD, Frank J. Veith, MD,

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Presentation on theme: "Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula  Michael L. Marin, MD, Frank J. Veith, MD,"— Presentation transcript:

1 Percutaneous transfemoral insertion of a stented graft to repair a traumatic femoral arteriovenous fistula  Michael L. Marin, MD, Frank J. Veith, MD, Thomas F. Panetta, MD, Jacob Cynamon, MD, Hector Barone, MD, Claudio Schonholz, MD, Juan C. Parodi, MD  Journal of Vascular Surgery  Volume 18, Issue 2, Pages (August 1993) DOI: / (93)90611-O Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Femoral arteriogram after gunshot wound to left thigh. AVF associated with large pseudoaneurysm is seen between left SFA and SFV. Selective injection of deep femoral artery (1) and SFA branch (2) showed that these vessels were not injured. p, Pseudoaneurysm. Journal of Vascular Surgery  , DOI: ( / (93)90611-O) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Duplex ultrasonographic image of SFA depicted in Fig. 1. Loss of the intimal stripe (arrow) and associated pseudoaneurysm (P) are seen. Arterial defect measures approximately 13 mm (distance between Xs). Journal of Vascular Surgery  , DOI: ( / (93)90611-O) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Completion arteriogram demonstrates patency of SFA, proper positioning of stented graft (arrow) and no evidence of AVF or extravasation. Metal clips were placed in skin before procedure to facilitate fluoroscopic localization of AVF and proper placement of stented graft. Journal of Vascular Surgery  , DOI: ( / (93)90611-O) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Transverse and longitudinal duplex ultrasonographic images of stented graft repair of SFA after 3 months. A, Transverse image of artery and vein at level of stent can be identified with evidence of normal flow in arteries. B, Longitudinal duplex ultrasonogram identifies stented graft within artery (arrow). Minimal changes in peak systolic velocities are appreciated between native SFA and that portion of vessel that is covered by stented graft. Journal of Vascular Surgery  , DOI: ( / (93)90611-O) Copyright © 1993 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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