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婴儿期医源性动静脉瘘

Iatrogenic arteriovenous fistula in infancy.

作者信息

Parri F J, Mestres C A, Morales L, Rodriguez-Miguelez M, Rovira J, Mulet J

机构信息

Department of Paediatric Surgery, Hospital Clinic, University of Barcelona, Spain.

出版信息

Acta Paediatr Scand. 1988 Nov;77(6):933-6. doi: 10.1111/j.1651-2227.1988.tb10787.x.

DOI:10.1111/j.1651-2227.1988.tb10787.x
PMID:3207031
Abstract

Iatrogenic arteriovenous fistulas (AVF) in infancy are rare and are usually located at the level of femoral and antecubital vessels. They are generally secondary to multiple diagnostic or therapeutic arterial or venous punctures. The diagnosis is usually easy to make on clinical grounds; however, invasive procedures such as digital subtraction angiography (DSA) can be used to locate the fistula. These iatrogenic AVF may present as direct vascular communications or pseudoaneurysms originating in the venous wall. Surgical treatment is the therapy of choice. The case of an infant with an iatrogenic AVF of the femoral vessels is presented.

摘要

婴儿期医源性动静脉瘘(AVF)较为罕见,通常位于股血管和肘前血管水平。它们一般继发于多次诊断性或治疗性动静脉穿刺。基于临床情况通常很容易做出诊断;然而,诸如数字减影血管造影(DSA)等侵入性检查可用于确定瘘管位置。这些医源性AVF可能表现为直接的血管交通或起源于静脉壁的假性动脉瘤。手术治疗是首选治疗方法。本文介绍了一名患有股血管医源性AVF的婴儿病例。

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