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Technical management of traumatic arteriovenous fistula: Tips and tricks
Ayoub Bounssir1, Houda Taghi1, Nabil Sedki1
1Vascular Surgery Departement, Ibn Sina University Hospital Center, 10104, Souissi, Rabat, Morocco; Université Mohammed V, faculté de médecine et de pharmacie de Rabat, Morocco.
Introduction:
Traumatic Arteriovenous Fistulas (AVFs) are a rare complication of vascular injuries and pose a problem of topographic diagnosis and therapeutic management. Delayed treatment may cause cardiac and trophic complications.
Presentation Of Cases:
We describe 4 cases of AVFs complicating stab wounds of the lower limb, associated in 2 cases with pseudoaneurysms.
Discussion:
In two cases we performed a surgical repair, whereas in the other 2 patients we choose an endovascular treatment with wall graft stent placement.
Conclusion:
All traumatic AVFs must be treated to avoid vascular, local and general complications. Using both techniques, we had great results with no complications.
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