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创伤后锁骨下动静脉瘘的成功血管内治疗

Successful endovascular treatment of post-traumatic subclavian arteriovenous fistula.

作者信息

Embel Veysel, Ihionkhan Emmanuel, Lu Charles, Marcucci Vincent, Jain Vikalp

机构信息

Department of Surgery, Hackensack Meridian Health Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07756, United States.

出版信息

J Surg Case Rep. 2024 Dec 2;2024(12):rjae764. doi: 10.1093/jscr/rjae764. eCollection 2024 Dec.

Abstract

Subclavian arteriovenous fistulas (AVFs) are rare entities, mostly reported as a result of traumatic and iatrogenic injuries. In the literature, congenital subclavian AVFs are also presented. Diagnosis of traumatic AVF may present challenges given the variable clinical presentation, varying location, and difficulty to locate on imaging. If left untreated, it can lead to high-output heart failure. This underlies the importance of understanding the nature of the disease, timely diagnosis, and treatment in order to prevent increased morbidity and mortality. We report a case of a patient having a traumatic left subclavian AVF formation after clavicle and rib surgery, which was successfully treated with a covered stent.

摘要

锁骨下动静脉瘘(AVF)是一种罕见的病症,大多是由创伤性和医源性损伤引起的。文献中也有先天性锁骨下动静脉瘘的报道。鉴于创伤性动静脉瘘临床表现多样、位置各异且在影像学上难以定位,其诊断可能具有挑战性。如果不进行治疗,可能会导致高输出量心力衰竭。这凸显了了解疾病本质、及时诊断和治疗以预防发病率和死亡率增加的重要性。我们报告一例患者,其在锁骨和肋骨手术后形成了创伤性左锁骨下动静脉瘘,该患者通过覆膜支架成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6abf/11645533/b5c36c5fc58b/rjae764f1.jpg

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