Barth Mara M, Khwaja Khalid, Faintuch Salomao, Rabkin Dmitry
Department of Radiology, Division of Interventional Radiology, Beth Israel Deaconess Medical Center, 300 Brookline Ave. Boston, MA 02215, USA.
J Vasc Interv Radiol. 2008 Aug;19(8):1231-5. doi: 10.1016/j.jvir.2008.04.028.
Arteriovenous fistula (AVF) is a rare but well-documented complication of pancreatic allotransplantation. Small, tortuous vessels in the head of the transplanted pancreas may complicate transarterial embolization. The authors recently encountered two women who developed clinical pancreatitis after right pelvic transplant placement with documented AVF in the head of the transplanted pancreas. In the first patient, embolization was successfully performed transarterially. In the second patient, transarterial embolization was not feasible due to the small caliber and extreme tortuosity of the pancreaticoduodenal arcade and transvenous embolic occlusion was successfully performed. Both patients recovered with normalization of enzyme levels and pain reduction.
动静脉瘘（AVF）是胰腺同种异体移植中一种罕见但有充分文献记载的并发症。移植胰腺头部的细小、迂曲血管可能会使经动脉栓塞变得复杂。作者最近遇到两名女性，她们在右下腹移植放置后出现临床胰腺炎，经记录在移植胰腺头部存在AVF。在第一例患者中，成功地进行了经动脉栓塞。在第二例患者中，由于胰十二指肠动脉弓口径小且极度迂曲，经动脉栓塞不可行，成功地进行了经静脉栓塞闭塞。两名患者均康复，酶水平恢复正常，疼痛减轻。
