This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (40)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Epidemiology and Treatment

Kenneth R. Kollmeyer, MD; John L. Hunt, MD; Brian A. Ellman, MD; William J. Fry, MD

Arch Surg. 1981;116(5):697-702.

Abstract
• Traumatic arteriovenous fistula (AVF) is an uncommon form of vascular disruption. We reviewed 70 AVFs in 69 patients. Nearly one in ten acute arterial injuries is an AVF. Only half of these lesions, however, are clinically demonstrable. Iatrogenic lesions were present in 13% of patients. Eighty-one percent of lesions were treated surgically. Extracranial-intracranial (EC-IC) vascular bypass was used in over one third of head and high neck AVFs. Embolization was used as an adjunct to surgery in about one fourth of patients, and fewer than one in ten were treated with embolization alone. Since half of these lesions are not clinically detectable, liberal use of angiography is necessary for all traumatic wounds in proximity to a major vascular structure. Embolization was useful both as a primary treatment of AVF and as an adjunct to surgery; EC-IC bypass facilitates treatment of inaccessible fistulae in the head and neck.

(Arch Surg 1981;116:697-702)

Author Affiliations
From the Department of Surgery, University of Texas Health Sciences Center, Dallas.

Footnotes
Accepted for publication Jan 13, 1981.

Read before the 88th annual meeting of the Western Surgical Association, Salt Lake City, Nov 19, 1980.

Reprint requests to Department of Surgery, University of Texas Health Sciences Center, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Hunt).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Acquired Brachial Arteriovenous Fistula in an Ex-Premature Infant
Das and Sharma
CLIN PEDIATR 2002;41:131-132.
 

Traumatic Thoracic Arteriovenous Fistula--A Case Report
Klein et al.
VASC ENDOVASCULAR SURG 1991;25:250-252.
ABSTRACT  

Spontaneous Vertebrovertebral Arteriovenous Fistula Treated by Steel Coil Embolization: Case Report
Van Romphey et al.
VASC ENDOVASCULAR SURG 1990;24:206-209.
ABSTRACT  

Management Strategy for Combined Orthopedic and Vascular Injuries
Bongard
PERSPECT VASC SURG ENDOVASC THER 1990;3:8-24.
 

Selective Management of Nonocclusive Arterial Injuries
Stain et al.
Arch Surg 1989;124:1136-1141.
ABSTRACT  

Assessment of Proximity of a Wound to Major Vascular Structures as an Indication for Arteriography
Reid et al.
Arch Surg 1988;123:942-946.
ABSTRACT  

Arteriovenous Fistula: A Potential Complication of Venipuncture
Norcross and Shackford
Arch Intern Med 1988;148:1815-1816.
ABSTRACT  

Penetrating Arterial Trauma: Analysis of Missed Vascular Injuries
Richardson et al.
Arch Surg 1987;122:678-683.
ABSTRACT  

Brachial Arteriovenous Fistula After Balloon Catheter Thrombectomy: A Case Report
Hoffman et al.
VASC ENDOVASCULAR SURG 1986;20:349-352.
ABSTRACT