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冠状动脉支架栓塞至医源性动静脉瘘：一种意外的并发症。

Coronary Stent Embolisation to an Iatrogenic Arteriovenous Fistula: An Unexpected Complication.

作者信息

Gouveia R, Monteiro P, Brandão P, Sousa P, Campos J, Coelho A, Augusto R, Coelho N, Canedo A

机构信息

Angiologia e Cirurgia Vascular, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

出版信息

EJVES Short Rep. 2016 Dec 16;34:13-16. doi: 10.1016/j.ejvssr.2016.11.003. eCollection 2017.

DOI:10.1016/j.ejvssr.2016.11.003
PMID:28856326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5576162/
Abstract

INTRODUCTION

Systemic embolisation of stents represents a rare complication of coronary interventions.

REPORT

The case of a patient with peripheral embolisation of a coronary stent while undergoing a coronary procedure for an ischaemic event is reported. The stent lodged at a previously created iatrogenic fistula joining the profunda femoral artery and the common femoral vein. An endovascular attempt was ineffective in treating this complication. The stent was removed surgically and the fistula repaired.

DISCUSSION

This unusual clinical setting of stent embolisation concomitant to an iatrogenic arteriovenous femoral fistula is reported.

摘要

引言

支架的全身栓塞是冠状动脉介入治疗中一种罕见的并发症。

报告

本文报告了一名患者在因缺血事件接受冠状动脉手术时发生冠状动脉支架外周栓塞的病例。支架嵌顿在先前形成的连接股深动脉和股总静脉的医源性瘘管处。血管内治疗该并发症无效。通过手术取出支架并修复瘘管。

讨论

本文报告了这种与医源性股动静脉瘘并存的支架栓塞的特殊临床情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/9e263a15b494/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/6fc9bbb69139/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/08947d8f1c0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/71e94fb96d98/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/9e263a15b494/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/6fc9bbb69139/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/08947d8f1c0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/71e94fb96d98/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b0/5576162/9e263a15b494/gr4.jpg

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本文引用的文献

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Frequency, treatment, and consequences of device loss and entrapment in contemporary percutaneous coronary interventions.当代经皮冠状动脉介入治疗中器械丢失和卡压的发生率、治疗及后果
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Incidence, management, and outcome of stent loss during intracoronary stenting.冠状动脉内支架置入术中支架移位的发生率、处理及结局
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Stent embolization during intracoronary stenting.冠状动脉内支架置入过程中的支架栓塞
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