Document Detail


Emergent stent graft isolation of a knife-related subclavian arterial venous fistula: lessons learned during long-term follow-up.
MedLine Citation:
PMID:  16270358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the unusual case of a 42-year-old gentleman who entered the trauma center with a hemothorax and intermittent bright red pulsatile blood from three stab wounds in the ipsilateral supraclavicular fossa. The patient was found on emergent angiography to have a large right subclavian artery to vein fistula that was treated successfully with a Dacron-covered stent. Angiography, 2 years following stent-graft isolation, confirmed a durable result with evidence of hemodynamically insignificant neointimal growth through the pores of the graft material. This case provides insight into the long-term effects of a Dacron-covered stent in patients with traumatic arterial injury. We discussed the advantages and disadvantages of different graft materials based on these angiographic findings.
Authors:
Mark C Bates; John Campbell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  66     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-28     Completed Date:  2006-04-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  483-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2005 Wiley-Liss, Inc.
Affiliation:
CAMC, Health Education and Research Institute, Charleston, West Virginia, USA. mark.bates@camc.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Arteriovenous Fistula / etiology,  radiography,  surgery*
Blood Vessel Prosthesis Implantation / instrumentation*
Emergencies
Follow-Up Studies
Humans
Male
Stents*
Subclavian Artery / injuries*,  radiography
Subclavian Vein / injuries*,  radiography
Thoracic Injuries / complications*,  surgery
Time Factors
Wounds, Stab / complications*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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