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  • Title: Arterio-venous shunting complicating occlusive atherosclerotic peripheral vascular disease.
    Author: Vallance R, Quin RO, Forrest H.
    Journal: Clin Radiol; 1986 Jul; 37(4):389-93. PubMed ID: 3731705.
    Abstract:
    Three cases of severe occlusive peripheral vascular disease are described in which spontaneous arterio-venous fistulae at the site of atheromatous occlusion have been demonstrated by angiography during the arterial phase. Although none of these patients exhibited specific clinical signs of an arterio-venous fistula, this phenomenon is considered to have been a clinically significant factor in the patients' peripheral ischaemia. In one case both the superficial femoral artery stenosis and the spontaneous shunts were effectively treated by percutaneous angioplasty.
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