Wang Weiping, Moon Eunice, Spain James
Imaging Institute, Section of Interventional Radiology, Cleveland Clinic, Cleveland, OH 44195, USA.
Vasc Endovascular Surg. 2013 Feb;47(2):131-4. doi: 10.1177/1538574412474499. Epub 2013 Jan 20.
Femoral arteriovenous fistula (AVF) is an abnormal communication between femoral artery and vein, which is frequently caused by an iatrogenic or traumatic event. Surgery and endovascular approach with coil and stent graft placement are the most frequent choices of treatment. Herein, we present 2 cases of iatrogenic superficial femoral AVF, which were treated with percutaneous balloon-assisted N-butyl-2-cyanoacrylate glue (N-BCA). Both fistulae had a short tract, and 1 of the patients had previously undergone a failed coil embolization. The occlusions with N-BCA were achieved immediately, and both fistulae remained obliterated at 1 and 12 months of follow-up.
股动静脉瘘（AVF）是股动脉与静脉之间的异常连通，常由医源性或创伤性事件引起。手术以及采用线圈和覆膜支架置入的血管内治疗方法是最常用的治疗选择。在此，我们报告2例医源性股浅动静脉瘘，采用经皮球囊辅助N-丁基-2-氰基丙烯酸酯胶（N-BCA）进行治疗。两个瘘管的通道都很短，其中1例患者先前接受线圈栓塞治疗失败。使用N-BCA立即实现了闭塞，在1个月和12个月的随访中，两个瘘管均保持闭塞状态。
