Arteriographic embolization of carefully selected post-traumatic arteriovenous fistulas or bleeding vessels is a useful, safe alternative to direct surgical treatment, particularly in cases in which the involved vessel is not a critical artery and may be obliterated safely without fear of distal ischemia. The embolization procedure is readily accomplished at the time of diagnostic arteriography. It is ideally suited to treat lesions that are not readily accessible for surgical correction or in patients in whom surgery is thought to be too hazardous. The ease, efficacy and excellent long-term results achieved with arteriographic embolization and the lack of complications related to the procedure suggest that it should be used more frequently in treating carefully selected surgically accessible lesions.
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