Transvenous approach to salvage incomplete arterial embolization of compound traumatic arteriovenous fistulae

Abstract

Two patients with compound arteriovenous fistulae, in whom transarterial embolizations failed, were managed by embolization of the arterial tributaries of their fistulae from retrograde, transvenous access. Transvenous embolizations were successful in both patients. Given multiple arterial tributaries, and large communicating hematomas into which these arteries bleed, transvenous access may be a useful approach for embolizing compound traumatic arteriovenous fistulae.

Curative Treatment of Pelvic Arteriovenous Malformation – An Alternative Strategy: Transvenous Intra-operative Embolisation

“…Transvenous approach for treatment of AV fistula has been reported with success. 6 Mituzaki 7 published one case of retrograde transvenous occlusion of pelvic AVM with ethanolamine oleate product.…”

“…Embolisation of the AVM by retrograde transvenous approach has been already reported with successful results in three patients. 6,7 We therefore propose, in complex cases, a controlled intra-operative embolisation of the internal iliac vein (IIV) and present our series with longterm results.…”

Popliteal Arteriovenous Fistula Due to a Gunshot Injury

“…The indications for this technique have expanded progressively with the constant development of this discipline. 5,22,23 CONCLUSION Trauma, particularly ballistic, is a common cause of vascular lesions, notably AVFs. Diagnosis of these lesions often goes unrecognized and is made only after a long delay and progression.…”

Vascular anomalies of the extremities

“…AVMs of the extremities remain a relatively rare phenomenon. 54,55 By accessing and blocking the immediate draining vein of the nidus, one can produce a more reliable and long-lasting disruption of the main flow pathways of AVMs. Their fast-flow nature complicates interventional strategies.…”