Deshpande A, Denton M
Department of Vascular Surgery, St. Vincent's Hospital, Melbourne, Australia.
J Endovasc Surg. 1999 Aug;6(3):301-3. doi: 10.1583/1074-6218(1999)006<0301:ETOAPF>2.0.CO;2.
To describe successful endovascular management of a posttraumatic arteriovenous fistula (AVF) when a covered stent is unavailable.
An AVF developed between the profunda femoris and the femoral vein in a 59-year-old man undergoing a total hip revision procedure. No covered stent being available, a Dacron plug was inserted on top of scaffolding created by a conventional stent and embolization coils. Successful control of hemorrhage and resolution of the AVF was documented. Pulmonary embolization was avoided by using this scaffolding technique.
Dacron can be used for occlusion of a medium-sized artery in an emergency situation in selected cases.
