一例与植入式心脏复律除颤器植入相关的锁骨下动静脉瘘

A Subclavian Arteriovenous Fistula Associated with Implantable Cardioverter-Defibrillator Implantation.

作者信息

Rahman Salman, Oesterle Adam C, Badhwar Nitish

机构信息

Section of Cardiac Electrophysiology, Division of Cardiology, Department of Medicine, University of California, San Francisco, 500 Parnassus Avenue, MU East 431, Box 1354, San Francisco, CA 94143, USA.

出版信息

Card Electrophysiol Clin. 2016 Mar;8(1):185-9. doi: 10.1016/j.ccep.2015.10.026.

DOI:10.1016/j.ccep.2015.10.026

PMID:26920192

Abstract

Subclavian arteriovenous fistulas (AVFs) should be considered in the differential diagnosis of a patient presenting with worsening CHF symptoms or unilateral edema immediately after device implantation. A palpable thrill may be present or a bruit may be auscultated in the region of the fistula. Ultrasonography has limitations in the subclavian region and definitive diagnosis is only made by angiogram. Percutaneous occlusion of the AVF is preferred as surgical repair is associated with significant morbidity and mortality.

摘要

锁骨下动静脉瘘（AVF）应被纳入对在装置植入后立即出现CHF症状恶化或单侧水肿的患者的鉴别诊断中。瘘管区域可能可触及震颤或可闻及血管杂音。超声检查在锁骨下区域存在局限性，明确诊断仅通过血管造影进行。首选经皮封堵AVF，因为手术修复会带来显著的发病率和死亡率。