Angiographic management of traumatic arteriovenous fistulas: clinical results.

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Abstract
Patients (30) with traumatic arteriovenous fistula of the abdomen or extremity were examined by angiography. Patients (17) underwent transcatheter embolization therapy. Of the 17 patients treated, 16 were successfully managed with arterial occlusion alone. In 1 renal arteriovenous-calyceal fistula, both arterial and venous transcatheter occlusions were necessary to control hemorrhage and close the fistula. All fistulas were successfully closed; there were no recurrences (follow-up 6 mo.-4 yr). Transcatheter occlusion of traumatic arteriovenous fistulas is an effective means of therapy and may be considered a primary means of management.