We present the case of a patient suffering from a gunshot wound which caused a tear in his left subclavian artery, that had been surgically repaired. During the recovery process an arteriovenous fistula in the left cervical side was identified, coming out from the left subclavian artery and one centimeter distally away from the vertebral artery. We used the Hemobahn endoprosthesis (W.L. Gore and Associates). The turnes out to be very complex due to risk of closing the left vertebral artery and considering that the contralateral vertebral artery was occluded. The Hemobahn was successfully deployed after performing a brachial artery access. We discuss the therapeutic indication and we describe the technique with the particularities of this case, already mentioned.
Fonseca-Legrand, J. L., Vallina-Vázquez, M. J., Gallardo-Hoyos, Y., Cano-López, C., Mateos-Otero, F. J., Agúndez-Gómez, F. A., & Velasco-Ballesteros, R. (2001). Tratamiento endovascular de una fístula arteriovenosa postraumática de la arteria subclavia con una endoprótesis. Angiologia, 53(1), 42–46. https://doi.org/10.1016/S0003-3170(01)74676-7