Hybrid Management for Traumatic Iliac Arteriovenous Fistula

Abstract

Traumatic arteriovenous fistulas are usually the evolution of non-treated contiguous arterial and venous injuriesinflicted by firearm projectiles. As time passes, these fistulas can lead to systemic and local repercussions. Endovascularmanagement offers great benefit in reducing the risks of open surgery for correcting these fistulas, but unfortunatelysome endovascular resources are not always available.In this situation, a hybrid management offering an endovascular strategy to control bleeding, while allowing anopen disconnection of the affected artery and vein, may be useful in dealing with these complex injuries. In thisarticle, the authors report a case of traumatic arteriovenous fistula between the common iliac vessels, managed witha hybrid strategy and make comments about practical issues regarding planning the open part of the procedure andanticipating possible complications when treating such injuries.