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A 26-year-old club doorman shot by a “pocket” crossbow. (A) Initial computed tomography showed a left axillary artery to vein arteriovenous fistula (AVF) confirmed on angiography. The left arm became markedly swollen. (B) An axillary artery Hemobahn stent graft (Gore, Flagstaff, AZ) occluded the AVF. Contrary to medical advice the patient returned to body building, and the stent graft occluded at 3 months but with minimal arm claudication.
