Peynircioglu Bora, Yurttutan Nursel, Gulek Bozkurt, Cil Barbaros, Yilmaz Mustafa
Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Acta Radiol. 2011 Oct 1;52(8):850-3. doi: 10.1258/ar.2011.110129. Epub 2011 Jul 1.
Endovascular treatment options have evolved in many ways and become an important alternative for open surgical repairs in various vascular territories. Herein, we present a case of an 18-year-old man with complex injury to the left subclavian artery and vein caused by a gunshot 4 months ago. After the gunshot, a high-flow fistula between the left subclavian artery and the vein occurred with pseudoaneurysm formation. This fistula led to a significant left subclavian steal phenomenon. A stent-graft was deployed along the injured left subclavian artery after embolization of the left vertebral artery by Amplatzer vascular plug 4 (AVP-4) in order to prevent subsequent endoleak due to the subclavian steal syndrome.
血管内治疗方案在很多方面都有了发展，已成为不同血管区域开放手术修复的重要替代方法。在此，我们报告一例18岁男性患者，4个月前因枪伤导致左锁骨下动静脉复合伤。枪击伤后，左锁骨下动静脉之间形成了高流量瘘并伴有假性动脉瘤形成。这种瘘导致了明显的左锁骨下窃血现象。在通过Amplatzer血管封堵器4（AVP - 4）栓塞左椎动脉后，沿着受伤的左锁骨下动脉植入了覆膜支架，以防止因锁骨下窃血综合征导致的后续内漏。
