Endovascular Treatment of a Posttraumatic Femoral Vein—Profunda Femoris Artery Fistula

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Abstract
Purpose: To describe successful endovascular management of a posttraumatic arteriovenous fistula (AVF) when a covered stent is unavailable. Methods and Results: An AVF developed between the profunda femoris and the femoral vein in a 59-year-old man undergoing a total hip revision procedure. No covered stent being available, a Dacron plug was inserted on top of scaffolding created by a conventional stent and embolization coils. Successful control of hemorrhage and resolution of the AVF was documented. Pulmonary embolization was avoided by using this scaffolding technique. Conclusions: Dacron can be used for occlusion of a medium-sized artery in an emergency situation in selected cases.