多发性自发性髂股动静脉瘘

Multiple Spontaneous Iliac and Femoral Arteriovenous Fistulas.

作者信息

Fujii Masahiko, Sakurai Manabu, Mogi Kenji, Nomura Anan, Sakata Tomoki, Takahara Yoshiharu

机构信息

Division of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan; Division of Cardiovascular Surgery, Narita Red Cross Hospital, Narita, Japan.

Division of Cardiovascular Surgery, Heart and Vascular Institute, Funabashi Municipal Medical Center, Funabashi, Japan.

出版信息

Ann Vasc Surg. 2018 Jan;46:367.e11-367.e13. doi: 10.1016/j.avsg.2017.06.147. Epub 2017 Jul 6.

DOI:10.1016/j.avsg.2017.06.147

PMID:28689937

Abstract

An arteriovenous fistula (AVF) in a limb involves an abnormal connection between a limb artery and vein. It can be due to trauma or iatrogenic injury. Traumatic AVFs can be caused by penetrating or gunshot injuries to the limb, whereas iatrogenic causes include catheter intervention to the groins or open surgery of the inguinal space. By contrast, the occurrence of multiple spontaneous AVFs is rare. We report a case of endovascular therapy for multiple spontaneous AVFs between the iliac artery and the vein, common femoral artery and the vein, superficial artery and the saphenous vein, and deep femoral artery and the vein.

摘要

肢体动静脉瘘（AVF）是指肢体动脉与静脉之间的异常连接。其可由创伤或医源性损伤引起。创伤性动静脉瘘可由肢体穿透伤或枪伤导致，而医源性病因包括腹股沟区的导管介入或腹股沟间隙的开放手术。相比之下，多发性自发性动静脉瘘的发生较为罕见。我们报告一例针对髂动脉与静脉、股总动脉与静脉、浅动脉与大隐静脉以及股深动脉与静脉之间多发性自发性动静脉瘘的血管内治疗病例。