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颈内静脉置管后发生的乳内动脉-锁骨下静脉瘘。病例报告及文献复习。

Internal mammary artery subclavian vein fistula following internal jugular vein catheterization. A case report and review of the literature.

作者信息

Halldorsson A, Hunter G C, McIntyre K E, Bernhard V M

机构信息

Department of Surgery, University of Arizona, Tucson.

出版信息

J Cardiovasc Surg (Torino). 1991 May-Jun;32(3):376-9.

PMID:2055939
Abstract

We have recently treated a patient with an arteriovenous fistula that developed after a right internal jugular vein catheterization. The patient was found to have a pulsatile hematoma and a bruit five days after removal of a temporary pacemaker catheter. Digital subtraction arteriography documented a fistula between the right internal mammary artery and subclavian vein. The fistula was surgically repaired via the cervical route. To our knowledge, an arteriovenous fistula between the internal mammary artery and subclavian vein has not been previously described as a complication of a percutaneous internal jugular vein catheterization.

摘要

我们最近治疗了一名患者,其在右颈内静脉置管后出现了动静脉瘘。在拔除临时起搏器导管五天后,发现该患者有搏动性血肿和血管杂音。数字减影血管造影显示右乳内动脉与锁骨下静脉之间存在瘘管。通过颈部途径对该瘘管进行了手术修复。据我们所知,乳内动脉与锁骨下静脉之间的动静脉瘘此前尚未被描述为经皮颈内静脉置管的并发症。

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