Grillo, Vinicius Tadeu Ramos da Silva [UNESP]Jaldin, Rodrigo Gibin [UNESP]Rosa, Felipe Damascena [UNESP]Secondo, Mariana Thais Silva [UNESP]Pimenta, Rafael Elias Farres [UNESP]Bertanha, Matheus [UNESP]Sobreira, Marcone Lima [UNESP]Yoshida, Winston Bonetti [UNESP]2022-04-292022-04-292021-01-01Jornal Vascular Brasileiro, v. 20.1677-73011677-5449http://hdl.handle.net/11449/230458Traumatic arteriovenous fistulas (AVFs) involving the axillary and subclavian vessels are uncommon and account for 5 to 10% of all arterial traumas. The complex anatomy of this region makes treatment of this segment challenging. In this therapeutic challenge, we describe the case of a 73-year-old man, referred for progressive edema and ulceration involving the right upper limb and with a history of gunshot wound to the right infraclavicular region about 50 years previously. Angiotomography was performed and an axillary-axillary AVF was found, associated with tortuosity and aneurysmatic dilation of the subclavian artery downstream. He underwent endovascular intervention and a conical (monoiliac) 26 × 14 × 90 mm Braile® endoprosthesis was used in the aneurysmatic subclavian artery, posterior to the exit of the right vertebral artery and a 16 × 16 × 95mm Excluder® monoiliac endoprosthesis was placed overlapping the first prosthesis, showing a satisfactory result. Therefore, the possibility of successfully using aortic endoprostheses in an unusual and exceptional situation is described.engArteriovenous fistulaEndovascular procedureSubclavian arteryVascular system injuriesArtigo10.1590/1677-5449.2100162-s2.0-85125284138