Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina, USA.
Catheter Cardiovasc Interv. 2011 Apr 1;77(5):761-3. doi: 10.1002/ccd.22792. Epub 2011 Mar 21.
Subclavian arteriovenous fistula (AVF) is a rare complication of implantable cardioverter-defibrillator (ICD) implantation. This report illustrates the case of a subclavian AVF after ICD implantation in a patient with nonischemic cardiomyopathy and the successful closure of this AVF using an Amplatzer vascular occlusion plug. Given the increasing number of ICD implantations, physicians should be made aware of this uncommon complication. In addition, as more percutaneous endovascular techniques are developed to treat peripheral vascular and structural heart disease, iatrogenic AVFs may occur more frequently. The Amplatzer vascular plug should be considered as a potential treatment strategy for AVFs alongside other endovascular and surgical techniques.
锁骨下动静脉瘘（AVF）是植入式心脏复律除颤器（ICD）植入的罕见并发症。本报告介绍了 1 例非缺血性心肌病患者 ICD 植入术后发生锁骨下 AVF 的病例，并成功使用 Amplatzer 血管封堵器闭合了该 AVF。随着 ICD 植入数量的增加，医生应意识到这种不常见的并发症。此外，随着越来越多的经皮腔内血管内技术被开发用于治疗外周血管和结构性心脏病，医源性 AVF 可能更频繁地发生。Amplatzer 血管封堵器应被视为治疗 AVF 的一种潜在治疗策略，与其他血管内和手术技术一起使用。
