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一名患有血管性埃勒斯-当洛综合征的患者在桡动脉置管后发生动静脉瘘。

Arteriovenous fistula following radial artery cannulation in a patient with vascular Ehlers-Danlos syndrome.

作者信息

Gionet Gabrielle, Savoie-White Félix H, Gegiia Ievgen, Sédillot-Daniel Sara, Dalens Violaine, Rhéaume Pascal

机构信息

Centre de Formation Médicale du Nouveau-Brunswick, Université de Sherbrooke, Moncton, New Brunswick, Canada.

Division of Vascular Surgery, CHU de Québec, Université Laval, Québec, Canada.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Apr 28;11(4):101822. doi: 10.1016/j.jvscit.2025.101822. eCollection 2025 Aug.

DOI:10.1016/j.jvscit.2025.101822
PMID:40496663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151222/
Abstract

Vascular Ehlers-Danlos syndrome (VEDS) increases the risk of complications following invasive procedures owing to vascular fragility. This case report details a patient with VEDS who developed two arteriovenous fistulas after radial line placement for an emergency endovascular procedure. Effective management required ligation of the radial artery feeding both two arteriovenous fistulas, underscoring the need to minimize invasive procedures and ensure thorough follow-ups in patients with VEDS. Regular imaging and proactive monitoring are essential for the early detection and management of complications, thereby improving patient outcomes and decreasing long-term risks.

摘要

血管性埃勒斯-当洛综合征（VEDS）由于血管脆弱性，会增加侵入性手术后并发症的风险。本病例报告详细介绍了一名患有VEDS的患者，该患者在进行紧急血管内手术放置桡动脉导管后出现了两个动静脉瘘。有效的治疗需要结扎为两个动静脉瘘供血的桡动脉，这突出了尽量减少侵入性手术并确保对VEDS患者进行全面随访的必要性。定期成像和积极监测对于并发症的早期发现和管理至关重要，从而改善患者预后并降低长期风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc90/12151222/5f7d0ce2d377/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc90/12151222/e9612a216f56/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc90/12151222/5f7d0ce2d377/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc90/12151222/e9612a216f56/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc90/12151222/5f7d0ce2d377/gr2.jpg

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J Vasc Surg Cases Innov Tech. 2024 May 18;10(4):101519. doi: 10.1016/j.jvscit.2024.101519. eCollection 2024 Aug.
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Management of spontaneous dissection and rupture of common iliac artery in vascular Ehlers-Danlos syndrome (VEDS).血管性埃勒斯-当洛综合征（VEDS）中髂总动脉自发性夹层和破裂的管理。
J Vasc Surg Cases Innov Tech. 2022 Aug 23;9(4):101002. doi: 10.1016/j.jvscit.2022.08.007. eCollection 2023 Dec.
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Neuroendovascular Procedures in Patients with Ehlers-Danlos Type IV: Multicenter Case Series and Systematic Review.
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Surveillance and monitoring in vascular Ehlers-Danlos syndrome in European Reference Network For Rare Vascular Diseases (VASCERN).血管型埃勒斯-当洛斯综合征的监测和监测：欧洲罕见血管疾病参考网络（VASCERN）。
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