Tumay Bekci, Belet Umit, Mehmet Selim Nural, Ramazan Aydin, Eser Turgut, Aysegul
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A Rare Complication of Blunt Traumatic Injury: Posttraumatic Intrasplenic Arteriovenous Fistula and Treatment by Superselective Coil Embolization
AbstractPosttraumatic intrasplenic arteriovenous fistula is a very rare complication of blunt traumatic injury. Computed tomography angiography is a useful and noninvasive technique to follow up nonsurgically managed patients with posttraumatic splenic injury and has a vital role detecting delayed complications such as arteriovenous fistula. Endovascular treatment of a vascular complication prevents risk of surgery and splenectomy complications. We present a case of posttraumatic arteriovenous fistula in 39-year-old male which was diagnosed by computed tomography angiography and successfully treated by transcatheter coil embolization. Key Words: CT angiography, splenic AVF, transcatheter embolization, blunt trauma
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- References
- Crusco F, Antoniella A, Puligheddu C, Fabbri AZ, Giovagnoni A. Post-operative splenic arteriovenous fistula detected with 16-multidetector computed tomography. Br J Radiol. 2007;80(957):e216-8.
- Maloo MK, Burrows PE, Shamberger RC. Traumatic splenic arteriovenous fistula: splenic conservation by embolization. J Trauma. 1999;47(1):173-5.
- Gaba RC, Katz JR, Parvinian A, Reich S, Omene BO, Yap FY, Owens CA, Knuttinen MG, Bui JT. Splenic artery embolization: a single center experience on the safety, efficacy, and clinical outcomes. Diagn Interv Radiol. 2013;19(1):49-55.
- Oguz B, Cil B, Ekinci S, Karnak I, Akata D, Haliloglu M. Posttraumatic splenic pseudoaneurysm and arteriovenous fistula: diagnosis by computed tomography angiography and treatment by transcatheter embolization. J Pediatr Surg. 2005;40(12):e43-6.
- Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology. 2012;265(3):678-93.
- Sclafani SJ, Shaftan GW, Scalea TM, Patterson LA, Kohl L, Kantor A, Herskowitz MM, Hoffer EK, Henry S, Dresner LS, et al. Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis. J Trauma. 1995;39(5):818-25; discussion 826-7.
- Hagiwara A, Yukioka T, Ohta S, Tokunaga T, Ohta S, Matsuda H, Shimazaki S. Nonsurgical management of patients with blunt hepatic injury: efficacy of transcatheter arterial embolization. AJR Am J Roentgenol. 1997;169(4):1151-6.
- Salis A, Pais SO, Vennos A, Scalea T. Superselective embolization of a traumatic intrasplenic arteriovenous fistula. J Trauma. 1999;46(1):186-8.