| Postcatheterization femoral arteriovenous fistulas: endovascular treatment with stent-grafts. | |
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MedLine Citation:
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PMID: 15383847 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To report our results of stent-graft implantation for the endovascular treatment of postcatheterization femoral arteriovenous fistulas (AVFs) occurring between the deep femoral artery and the femoral vein. METHODS: Endovascular treatment of iatrogenic femoral AVFs as a result of arterial puncture for coronary angiography and/or angioplasty was attempted in 10 cases. Balloon-expandable stent-grafts, one for each lesion, were used to repair the fistulas, which were between the deep femoral artery and the femoral vein in all cases. Stent-graft implantation to the deep femoral artery was performed by a contralateral retrograde approach. RESULTS: All stent-grafts were deployed successfully. Complete closure of the fistulas was accomplished immediately in nine of 10 cases. In one case, complete closure could not be obtained but the fact that the complaint subsided was taken to indicate clinical success. In three cases, side branch occlusion of the deep femoral artery occurred. No complications were observed after implantation. Follow-up for 8-31 months (mean 18.5 months) with color Doppler ultrasonography revealed patency of the stented arterial segments without recurrent arteriovenous shunting in those nine patients who had successful immediate closure of their AVFs. CONCLUSION: Our results with a mean follow-up 18.5 months suggest that stent-graft implantation for the closure of postcatheterization femoral AVFs originating from the deep femoral artery is an effective, minimally invasive alternative procedure. |
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Authors:
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Baran Onal; Sule Kosar; Terman Gumus; Erhan T Ilgit; Sergin Akpek |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2004-07-30 |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 27 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2004 Sep-Oct |
Date Detail:
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Created Date: 2004-09-22 Completed Date: 2006-08-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 453-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, School of Medicine, Gazi University, Besevler, 06510 Ankara, Turkey. baranonal@gazi.edu.tr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Arteriovenous Fistula / diagnosis, surgery* Blood Vessel Prosthesis Implantation Catheterization, Peripheral / adverse effects* Device Removal Female Femoral Artery / pathology*, surgery* Femoral Vein / pathology*, surgery* Follow-Up Studies Humans Male Middle Aged Stents Treatment Outcome Ultrasonography, Doppler, Duplex Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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