Endovascular treatment of a traumatic facial arteriovenous fistula with transcatheter embolization technique

Sefer Usta; Hamit Serdar Başbuğ; Mehmet Halil Öztürk; Yavuz Çakıroğlu

doi:10.5606/tgkdc.dergisi.2015.11668

Sefer Usta¹, Hamit Serdar Başbuğ², Mehmet Halil Öztürk³, Yavuz Çakıroğlu⁴

¹Department of Cardiovascular Surgery, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey
²Department of Cardiovascular Surgery, Medical Faculty of Kafkas University, Kars, Turkey
³Departments of Radiology, Medical Faculty of Karadeniz Technical University, Trabzon, Turkey
⁴Departments of Cardiovascular Surgery, Medical Faculty of Karadeniz Technical University, Trabzon, Turkey

DOI : 10.5606/tgkdc.dergisi.2015.11668

Traumatic arteriovenous (AV) fistulas are the vascular lesions which usually develop due to penetrating or blunt injuries or rarely due to an iatrogenic cause. Gunshot wounds, penetrating injuries, or bone fractures which are located in an adjacent artery and vein constitute the major etiology of the traumatic AV fistulas. Arteriovenous fistulas may not be diagnosed for years and may require surgical intervention long after the injury. When a traumatic AV fistula is not treated immediately and appropriately, it may cause subacute and chronic complications. Traumatic AV fistulas may progress to rarely encountered aneurysmatic dilatations in chronic periods. In this article, we report a 33-year-old male case with a neglected traumatic AV fistula which progressed to a facial AV aneurysm and received endovascular treatment successfully using transcatheter embolization technique.

Keywords : Aneurysm; arteriovenous fistula; endovascular treatment; transcatheter embolization

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