Journal of Vascular Medicine & Surgery

Abstract

Endovascular Management of a Post-Traumatic Complex Arterioportal Fistula

Ankaj Khosla, Ben White, Sanjeeva Kalva and Anil Pillai

In the present case report, we report the use of coils and n-butyl cyanoacrylate in the treatment of posttraumatic complex arterioportal fistula. This fistula resulted in ongoing hemodynamically significant gastrointestinal bleeding. Initially, coil embolization was used to treat the large feeding arteries of the AV fistula, but with subsequent discovery of multiple small feeding arteries, n-butyl cyanoacrylate was used for successful occlusion with preserved parenchymal perfusion.