Varghese Kiron, Adhyapak Srilakshmi M
Department of Cardiology, St. John's Medical College Hospital, Bangalore, India.
Department of Cardiology, St. John's Medical College Hospital, Bangalore, India.
Ann Vasc Surg. 2017 May;41:281.e1-281.e5. doi: 10.1016/j.avsg.2016.09.032. Epub 2017 Feb 27.
We report the endovascular treatment of an arteriovenous fistula involving the right common iliac artery (CIA) and left common iliac vein in a 48-year-old male patient who had previously undergone lumbar spine disc surgery. A balloon expandable covered stent was deployed in the CIA which got partially dislodged into the aorta during attempted postdilatation of the stent. The proximal end of the stent was secured in place with an inflated balloon in the aorta, introduced from the contralateral iliac artery, allowing successful retrieval and dilatation of the stent graft through the ipsilateral femoral vascular access. The stent migration was managed without complications, and the fistula was successfully occluded.
我们报告了一名48岁男性患者的动静脉瘘的血管内治疗情况，该患者此前接受过腰椎间盘手术，其动静脉瘘累及右髂总动脉（CIA）和左髂总静脉。在右髂总动脉中部署了一个球囊可扩张覆膜支架，在对支架进行后扩张尝试时，该支架部分移位至主动脉。通过从对侧髂动脉引入的球囊在主动脉中使支架近端固定到位，从而能够通过同侧股血管通路成功取出并扩张覆膜支架。支架移位得到妥善处理，未出现并发症，动静脉瘘成功闭塞。
