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Case Reports in Vascular Medicine
Volume 2017, Article ID 9460958, 3 pages
https://doi.org/10.1155/2017/9460958
Case Report

A Case of Superficial Femoral Arteriovenous Fistula and Severe Venous Stasis Ulceration, Managed with an Iliac Extender Prosthesis

Mount Sinai St. Luke’s-West, New York, NY, USA

Correspondence should be addressed to Nicole Ilonzo; gro.tenphc@oznolin

Received 22 August 2016; Revised 9 March 2017; Accepted 17 May 2017; Published 20 July 2017

Academic Editor: Muzaffer Sindel

Copyright © 2017 Nicole Ilonzo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Most femoral artery arteriovenous fistulas occur as a result of percutaneous interventions. However, arteriovenous fistulas can occur in the setting of trauma, with resultant consequences such as heart failure, steal syndrome, or venous insufficiency. Indications for endovascular repair in this setting are limited to patients who are at too high risk for anesthesia, have a hostile groin, or would not survive significant bleeding. We report the case of a traumatic femoral arteriovenous fistula, causing severe venous insufficiency and arteriomegaly, in a 58-year-old male, with history of traumatic gunshot wound complicated by popliteal DVT. Surgical options for arteriovenous fistula include open and endovascular repair but this patient’s fistula was more suitable for endovascular repair for reasons that will be discussed.