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Endovascular management of traumatic cervicothoracic arteriovenous fistula

dc.contributor.authorDu Toit D.F.
dc.contributor.authorLeith J.G.
dc.contributor.authorStrauss D.C.
dc.contributor.authorBlaszczyk M.
dc.contributor.authorDe Odendaal J.V.
dc.contributor.authorWarren B.L.
dc.date.accessioned2011-05-15T16:15:49Z
dc.date.available2011-05-15T16:15:49Z
dc.date.issued2003
dc.identifier.citationBritish Journal of Surgery
dc.identifier.citation90
dc.identifier.citation12
dc.identifier.issn00071323
dc.identifier.other10.1002/bjs.4343
dc.identifier.urihttp://hdl.handle.net/10019.1/13505
dc.description.abstractBackground: This study evaluated a single-centre experience with endovascular repair of traumatic arteriovenous fistula in the cervicothoracic region. Methods: Endovascular repair of 27 traumatic cervicothoracic arteriovenous fistulas was attempted between August 1998 and December 2001. Patients with active bleeding or end-organ ischaemia were excluded. Follow-up was accomplished with clinical, duplex Doppler and arteriographic evaluation after 1 month and then every 3 months. Results: Twelve patients with a major vessel injury were treated by stent-graft placement. Vessels involved were the subclavian (eight), common carotid (three) and internal carotid (one) arteries. Subclavian artery side branches were embolized in three of the eight patients. Four patients developed early type 4 endoleaks but all resolved. Treatment with stent-grafts was ultimately successful in all 12 patients. Three patients were lost to follow-up. During mean follow-up of 21 (range 3-36) months, one of the remaining patients developed a graft stenosis. Fifteen patients with minor vessel injuries were treated with arterial embolization. Vessels embolized were subclavian artery branches (four), external carotid artery and branches (seven) and vertebral arteries (four). Successful embolization was accomplished in ten of 15 patients. Conclusion: Endovascular therapy is a promising alternative to surgery for selected patients with cervicothoracic arteriovenous fistula.
dc.subjectadolescent
dc.subjectadult
dc.subjectarteriography
dc.subjectarteriovenous fistula
dc.subjectarticle
dc.subjectartificial embolism
dc.subjectblood vessel injury
dc.subjectclinical article
dc.subjectcommon carotid artery
dc.subjectDoppler echography
dc.subjectendovascular surgery
dc.subjectexternal carotid artery
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectimage analysis
dc.subjectinternal carotid artery
dc.subjectmale
dc.subjectoutcomes research
dc.subjectpriority journal
dc.subjectprosthesis failure
dc.subjectSouth Africa
dc.subjectstenosis
dc.subjectstent
dc.subjectsubclavian artery
dc.subjectsubclavian vein
dc.subjectvertebral artery
dc.subjectAdolescent
dc.subjectAdult
dc.subjectArteries
dc.subjectArteriovenous Fistula
dc.subjectBlood Vessel Prosthesis
dc.subjectBlood Vessel Prosthesis Implantation
dc.subjectCarotid Artery Injuries
dc.subjectCarotid Artery, Common
dc.subjectCarotid Artery, Internal
dc.subjectChild
dc.subjectEmbolization, Therapeutic
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectMale
dc.subjectNeck Injuries
dc.subjectStents
dc.subjectTreatment Outcome
dc.subjectWounds, Gunshot
dc.subjectWounds, Stab
dc.titleEndovascular management of traumatic cervicothoracic arteriovenous fistula
dc.typeArticle
dc.description.versionArticle


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