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大型医源性腘动静脉瘘的血管内治疗

Endovascular treatment of a large iatrogenic popliteal arteriovenous fistula.

作者信息

Ying Andrew, Al-Asady Rafid, Vicaretti Mauro

机构信息

Department of Vascular Surgery, Westmead Hospital, Sydney, New South Wales, Australia.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Feb 21;6(1):129-132. doi: 10.1016/j.jvscit.2019.10.010. eCollection 2020 Mar.

DOI:10.1016/j.jvscit.2019.10.010
PMID:32123780
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7036700/
Abstract

A 40-year-old man presented with years of progressive leg swelling and venous varicosities. Lower limb computed tomography angiography and subsequent digital subtraction angiography demonstrated a large popliteal arteriovenous fistula (AVF). This was treated successfully by endovascular technique with a Viabahn stent (W. L. Gore & Associates, Flagstaff, Ariz) in the popliteal artery to exclude the AVF. AVFs of this size and chronicity are rare, and this case demonstrates a successful endovascular method of treatment.

摘要

一名40岁男性,多年来出现进行性腿部肿胀和静脉曲张。下肢计算机断层扫描血管造影及随后的数字减影血管造影显示存在一个巨大的腘动静脉瘘(AVF)。通过血管内技术,在腘动脉置入Viabahn支架(W.L. Gore & Associates,弗拉格斯塔夫,亚利桑那州)成功治疗该瘘,以排除动静脉瘘。这种大小和病程的动静脉瘘很少见,该病例展示了一种成功的血管内治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/f4061f1b6487/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/b61995809084/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/edd5aa7732d8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/2461bd8029d0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/3f9d374df822/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/18f0c4ddeb67/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/f4061f1b6487/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/b61995809084/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/edd5aa7732d8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/2461bd8029d0/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/3f9d374df822/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/18f0c4ddeb67/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac26/7036700/f4061f1b6487/gr6.jpg

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本文引用的文献

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Repair of popliteal aneurysm and spontaneous arteriovenous fistula in a patient with Marfan syndrome.马凡综合征患者腘动脉瘤及自发性动静脉瘘的修复
J Vasc Surg Cases Innov Tech. 2016 Aug 25;2(3):137-140. doi: 10.1016/j.jvsc.2016.03.010. eCollection 2016 Sep.
2
Meta-analysis of open and endovascular repair of popliteal artery aneurysms.腘动脉瘤开放手术与血管腔内修复的Meta分析
J Vasc Surg. 2017 Jan;65(1):246-256.e2. doi: 10.1016/j.jvs.2016.09.029.
3
Incidental discovery of a long standing arteriovenous fistula after thrombectomy for acute lower limb ischaemia.
急性下肢缺血行血栓切除术后偶然发现长期存在的动静脉瘘。
Int J Surg Case Rep. 2014;5(12):1031-4. doi: 10.1016/j.ijscr.2014.10.028. Epub 2014 Oct 31.
4
A case of a spontaneous popliteal arteriovenous fistula.一例自发性腘动静脉瘘。
Acta Chir Belg. 2007 Mar-Apr;107(2):208-10.
5
Spontaneous arteriovenous fistula resulting from HIV arteritis.由HIV动脉炎导致的自发性动静脉瘘。
J Vasc Surg. 2001 Jan;33(1):186-7. doi: 10.1067/mva.2001.108633.