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医源性右锁骨下动脉假性动脉瘤合并动静脉瘘的血管内治疗

Endovascular treatment of an iatrogenic right subclavian artery pseudoaneurysm associated with an arteriovenous fistula.

作者信息

Provost Hubert, Hommery-Boucher Xavier, Drudi Laura M, Beaudoin Nathalie, Plamondon Marie-Jo, Charbonneau Philippe

机构信息

Department of Vascular Surgery, Centre Hospitalier de l'Université de Montréal, Montréal, Canada.

Department of Anesthesiology, Centre Hospitalier de l'Université de Montréal, Montréal, Canada.

出版信息

J Vasc Surg Cases Innov Tech. 2024 May 21;10(4):101538. doi: 10.1016/j.jvscit.2024.101538. eCollection 2024 Aug.

DOI:10.1016/j.jvscit.2024.101538
PMID:39015671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11250871/
Abstract

This report describes the case of a frail 36-year-old patient who underwent an endovascular treatment of a right subclavian artery pseudoaneurysm (SAP) associated with an arteriovenous fistula secondary to a traumatic central venous catheter insertion. The deployment of a covered stent from the innominate to the right common carotid artery combined with coiling of the SAP and the internal mammary artery was performed. Two additional covered stents were deployed from the vertebral artery to the distal subclavian artery to preserve right upper extremity circulation. This case highlights the feasibility of an endovascular treatment of a complex SAP in a candidate unsuitable for open surgery.

摘要

本报告描述了一名36岁体弱患者的病例，该患者因创伤性中心静脉导管插入继发动静脉瘘，接受了右锁骨下动脉假性动脉瘤（SAP）的血管内治疗。从无名动脉至右颈总动脉植入覆膜支架，并对SAP和胸廓内动脉进行弹簧圈栓塞。另外从椎动脉至锁骨下动脉远端植入两枚覆膜支架，以保留右上肢血供。该病例突出了在不适合开放手术的患者中对复杂SAP进行血管内治疗的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/9cf62e11fde2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/617fb432a58c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/b796da48dc85/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/9b9a403a7d1f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/13eed1dbc803/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/9cf62e11fde2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/617fb432a58c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/b796da48dc85/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/9b9a403a7d1f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/13eed1dbc803/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2956/11250871/9cf62e11fde2/gr5.jpg

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本文引用的文献

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Balloon-Assisted Percutaneous Thrombin Injection for Treatment of Iatrogenic Left Subclavian Artery Pseudoaneurysm in a Critically Ill COVID-19 Patient.球囊辅助经皮注射凝血酶治疗危重症COVID-19患者医源性左锁骨下动脉假性动脉瘤
Case Rep Vasc Med. 2021 Oct 7;2021:4245484. doi: 10.1155/2021/4245484. eCollection 2021.
2
Endovascular Management of a Subclavian Arterial Injury During Central Venous Catheter Placement for Hemodialysis.血液透析中心静脉置管期间锁骨下动脉损伤的血管内治疗
Open Access Emerg Med. 2021 Jun 24;13:273-277. doi: 10.2147/OAEM.S308233. eCollection 2021.
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Interventional treatment options in pseudoaneurysms: different techniques in different localizations.
假性动脉瘤的介入治疗选择：不同部位的不同技术。
Pol J Radiol. 2019 Aug 23;84:e319-e327. doi: 10.5114/pjr.2019.88021. eCollection 2019.
4
Iatrogenic vertebral artery pseudoaneurysm due to central venous catheterization.中心静脉置管导致的医源性椎动脉假性动脉瘤
Proc (Bayl Univ Med Cent). 2011 Apr;24(2):96-100. doi: 10.1080/08998280.2011.11928692.
5
Endovascular treatment of an innominate artery iatrogenic pseudoaneurysm following subclavian vein catheterization.锁骨下静脉置管术后无名动脉医源性假性动脉瘤的血管内治疗
Vasc Endovascular Surg. 2011 Jan;45(1):78-82. doi: 10.1177/1538574410388308.
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Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm.中心静脉导管插入过程中的动脉损伤：病例系列、综述及拟议算法
J Vasc Surg. 2008 Oct;48(4):918-25; discussion 925. doi: 10.1016/j.jvs.2008.04.046. Epub 2008 Aug 13.
7
Pseudoaneurysm of the subclavian-vertebral artery junction--case report and review of the literature.锁骨下动脉-椎动脉交界处假性动脉瘤——病例报告及文献复习
Vasc Endovascular Surg. 2002 Nov-Dec;36(6):461-4. doi: 10.1177/153857440203600607.