Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder

Giant femoral arteriovenous fistulas are comparatively uncommon, typically treated through covered stents, coil embolization, and open surgical repair. Nevertheless, these options may not be appropriate for all patients. Herein, we describe a case of traumatic femoral arteriovenous fistulas that led...

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Main Authors: Zewei Chen, Yiyuan Huang, Chenxi Ye, Jiale Liu, Yuxin Liu, Yirui Tang, Zhenfei Fang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1295595/full
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author Zewei Chen
Yiyuan Huang
Chenxi Ye
Jiale Liu
Yuxin Liu
Yirui Tang
Zhenfei Fang
author_facet Zewei Chen
Yiyuan Huang
Chenxi Ye
Jiale Liu
Yuxin Liu
Yirui Tang
Zhenfei Fang
author_sort Zewei Chen
collection DOAJ
description Giant femoral arteriovenous fistulas are comparatively uncommon, typically treated through covered stents, coil embolization, and open surgical repair. Nevertheless, these options may not be appropriate for all patients. Herein, we describe a case of traumatic femoral arteriovenous fistulas that led to drastic dilatation of the femoral arteriovenous system and considerable heart failure symptoms due to prolonged lack of treatment. Given the intricate anatomical location of the fistula and the patient's severe cardiac dysfunction, surgical repair is often unfeasible. Consequently, we adopted an innovative approach in this case, utilizing a ventricular septal occluder device for fistula closure. This constitutes the first report of an arteriovenous fistula transcatheter closure with a septal occluder.
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spelling doaj.art-7b4471ddd5b3421bbe56d92a8e5a889f2024-01-04T04:51:03ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-01-011010.3389/fsurg.2023.12955951295595Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluderZewei Chen0Yiyuan Huang1Chenxi Ye2Jiale Liu3Yuxin Liu4Yirui Tang5Zhenfei Fang6Department of Cardiovascular Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaXiamen Cardiovascular Hospital, School of Medicine, Xiamen University, Xiamen, Fujian, ChinaDepartment of Cardiovascular Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, the Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaGiant femoral arteriovenous fistulas are comparatively uncommon, typically treated through covered stents, coil embolization, and open surgical repair. Nevertheless, these options may not be appropriate for all patients. Herein, we describe a case of traumatic femoral arteriovenous fistulas that led to drastic dilatation of the femoral arteriovenous system and considerable heart failure symptoms due to prolonged lack of treatment. Given the intricate anatomical location of the fistula and the patient's severe cardiac dysfunction, surgical repair is often unfeasible. Consequently, we adopted an innovative approach in this case, utilizing a ventricular septal occluder device for fistula closure. This constitutes the first report of an arteriovenous fistula transcatheter closure with a septal occluder.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1295595/fullarteriovenous fistula (AVF)vascular injurytraumatic arteriovenous fistulavascular interventional therapyventricular septal occluder
spellingShingle Zewei Chen
Yiyuan Huang
Chenxi Ye
Jiale Liu
Yuxin Liu
Yirui Tang
Zhenfei Fang
Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder
Frontiers in Surgery
arteriovenous fistula (AVF)
vascular injury
traumatic arteriovenous fistula
vascular interventional therapy
ventricular septal occluder
title Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder
title_full Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder
title_fullStr Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder
title_full_unstemmed Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder
title_short Case Report: Transcatheter closure of a giant post-traumatic femoral arteriovenous fistula using ventricular septal occluder
title_sort case report transcatheter closure of a giant post traumatic femoral arteriovenous fistula using ventricular septal occluder
topic arteriovenous fistula (AVF)
vascular injury
traumatic arteriovenous fistula
vascular interventional therapy
ventricular septal occluder
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1295595/full
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