PERCUTANEOUS ENDOLUMINAL STENT GRAFT REPAIR OF AN OLD TRAUMATIC FEMORAL ARTERIOVENOUS-FISTULA

A stent-graft was custom made to close a high-flow traumatic arteriove nous fistula of the left superficial femoral artery, present for 30 ye ars, in a 60-year-old man with congestive heart failure and ischemic u lceration in the left foot, A balloon expandable Palmaz stent (P394; 2 .5 mm X 3.9 cm) was covered with a polytetrafluoroethylene (PTFE) graf t and was inserted percutaneously through an 11 Fr vascular sheath. Fo llow-up Doppler ultrasound at 6 months demonstrated occlusion of the a rteriovenous fistula, patency of the artery, and luminal integrity of the artery and vein.