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经皮血管内激光消融术成功治疗手部创伤后动静脉瘘:病例报告

Post-traumatic AV Fistula of the Hand Successfully Treated With Percutaneous Endovascular Laser Ablation: Report of a Case.

作者信息

Fresa Marco, Bruschi Laura, Grognuz Sarah, Meuli Joachim, Wehrli Laurent, Mazzolai Lucia

机构信息

Department of Angiology, Center for Malformation and Rare Vascular Diseases, Lausanne University Hospital (CHUV), Switzerland.

Department of Plastic Surgery, Hand division, Lausanne University Hospital (CHUV), Switzerland.

出版信息

Hand (N Y). 2024 Nov;19(8):NP7-NP12. doi: 10.1177/15589447231221171. Epub 2024 Jan 10.

Abstract

Acquired arteriovenous fistula (AVF) in the hand can occur after trauma, fracture, or surgery. It is a rare condition, and only a few cases have been reported in the literature. Clinically they appear as palpable or painful lesions that persist long after the local hematoma has resolved. We report a case of a young patient presenting with long-standing and invalidating pain of the hand caused by a post-traumatic AVF, treated with percutaneous endovascular laser ablation.

摘要

手部后天性动静脉瘘(AVF)可发生于创伤、骨折或手术后。这是一种罕见的病症,文献中仅报道过少数病例。临床上,它们表现为可触及或疼痛性病变,在局部血肿消退后仍长期存在。我们报告一例年轻患者,因创伤后动静脉瘘导致手部长期疼痛且功能丧失,经皮腔内激光消融治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/412f/11536838/4d144553d545/10.1177_15589447231221171-fig1.jpg

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