Nakajima Yukari, Aramaki Noriko, Kishi Kazuo, Tamura Masashi, Nakatsuka Seishi, Jinzaki Masahiro, Inoue Masanori
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan.
Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan.
Radiol Case Rep. 2022 Jul 29;17(10):3591-3594. doi: 10.1016/j.radcr.2022.06.094. eCollection 2022 Oct.
An 80-year-old man underwent rectal resection and insertion of a central venous catheter through the left subclavian vein 16 years earlier. Following surgery, he developed edema of his left upper limb that became exacerbated and infected. Computed tomography showed occlusion of the subclavian vein and multiple arteriovenous shunts from the branches of the axillary artery to the venous sac of the axillary vein. Angiography confirmed numerous shunts between the branches of the axillary artery and vein and dilated collateral veins. Embolization of the venous sac was performed using coils, alcohol, and glue. Postprocedural angiography showed complete eradication of the nidus.
一名80岁男性16年前接受了直肠切除术,并通过左锁骨下静脉插入了中心静脉导管。术后,他出现了左上肢水肿,且水肿加重并发生感染。计算机断层扫描显示锁骨下静脉闭塞,以及从腋动脉分支到腋静脉静脉囊的多处动静脉分流。血管造影证实腋动脉和静脉分支之间有大量分流,且侧支静脉扩张。使用弹簧圈、酒精和胶水对静脉囊进行了栓塞。术后血管造影显示病灶完全消除。