Kalinin Roman, Suchkov Igor, Mzhavanadze Nina, Borisova Yulia, Panin Ilya
Department of Cardiovascular, Endovascular Surgery, and Diagnostic Radiology, Ryazan State Medical University, Ryazan 390026, Russia.
Department of Functional Diagnostics, Ryazan City Hospital for Emergency Medicine, Ryazan 390026, Russia.
World J Clin Cases. 2023 Apr 26;11(12):2811-2816. doi: 10.12998/wjcc.v11.i12.2811.
In the modern era of endovascular surgery percutaneous interventions are being widely used to treat a number of vascular disorders including arteriovenous fistulas (AVF). Still, patients with hostile anatomy or complicated cases such as large post-traumatic AVFs may be successfully treated using conventional vascular surgery.
This paper presents state-of-the-art treatment options in subjects with post-traumatic AVFs and a case-report of a successful open surgical approach in a patient with a 25 year old history of a post-traumatic AVF between the common femoral artery and common femoral vein.
Open surgery is still a great option to treat patients with post-traumatic arteriovenous fistulas with hostile anatomy or in complicated cases. Concomitant conditions and complications should be addressed promptly.