首页> 外文期刊>Cardiovascular and Interventional Radiology: A Journal of Imaging in Diagnosis and Treatment >Transcatheter closure of a chronic iatrogenic arteriovenous fistula between the carotid artery and the brachiocephalic vein with an Amplatzer duct occluder in combination with a carotid stent.
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Transcatheter closure of a chronic iatrogenic arteriovenous fistula between the carotid artery and the brachiocephalic vein with an Amplatzer duct occluder in combination with a carotid stent.

机译:使用Amplatzer导管封堵器结合颈动脉支架行经导管闭合颈动脉和头颅静脉之间的慢性医源性动静脉瘘。

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摘要

We report an original method of transcatheter closure of an arteriovenous fistula using the combination of an Amplatzer PDA occluder and a carotid stent. The fistula was between the left carotid artery and the brachiocephalic vein. The patient had significant left-to-right shunt and was highly symptomatic. Due to the large orifice and pseudoaneurysmatic enlargement of the fistula, we had to use a large Amplatzer PDA occluder and the protruding part of the PDA device disk had to be covered with a carotid stent. The fistula was completely closed. The patient stopped having symptoms and, 2 years after the procedure, the effect persists.
机译:我们报告了使用Amplatzer PDA封堵器和颈动脉支架相结合的动静脉瘘经导管闭合的原始方法。瘘管在左颈动脉和头臂静脉之间。该患者从左到右有明显的分流,并且症状强烈。由于瘘口大且假性动脉瘤扩大,我们不得不使用大型的Amplatzer PDA封堵器,而PDA设备盘的突出部分必须用颈动脉支架覆盖。瘘管完全闭合。患者停止出现症状,并且在手术后2年,这种效果持续存在。

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