Lee Byung Kook, Jeung Kyung Woon, Min Yong Il, Heo Tag, Ryu Hyun Ho, Jeong In Seok
Department of Emergency Medicine, Chonnam National University Hospital, 671, Jebongno, Donggu, Gwangju, Republic of Korea.
J Artif Organs. 2011 Jun;14(2):151-4. doi: 10.1007/s10047-010-0545-5. Epub 2011 Feb 2.
Percutaneous cardiopulmonary support (PCPS) has repeatedly been used with success as a tool for resuscitation in various life-threatening emergencies. PCPS-related vascular injuries are common, but ilio-iliac arteriovenous fistula (AVF) formation after PCPS has not been reported so far. We experienced a case of iatrogenic ilio-iliac AVF after PCPS, in which association between iliac artery tortuosity and AVF formation was strongly suspected. This case suggests that the risk of iatrogenic iliac AVF should be considered when PCPS is performed, especially in elderly patients whose arteries are frequently tortuous.
经皮心肺支持（PCPS）已多次成功用作各种危及生命的紧急情况的复苏工具。与PCPS相关的血管损伤很常见，但迄今为止尚未报道过PCPS后髂-髂动静脉瘘（AVF）的形成。我们遇到了一例PCPS后医源性髂-髂AVF病例，强烈怀疑髂动脉迂曲与AVF形成之间存在关联。该病例表明，在进行PCPS时应考虑医源性髂AVF的风险，尤其是在动脉经常迂曲的老年患者中。
