Nemes A, Pintér L, Hüttl K, Biró G, Acsády G
Departement of Cardiovascular Surgery, Semmelweis Medical University, Budapest, Hungary.
J Vasc Surg. 1997 Mar;25(3):587-90. doi: 10.1016/s0741-5214(97)70274-x.
Endovascular procedures offer various methods for the treatment of posttraumatic arteriovenous fistulas. We report the treatment of a posttraumatic arteriovenous fistula between the left subclavian artery and internal jugular vein combined with a large subclavian false aneurysm. To avoid left thoracotomy we attained control of arterial bleeding by means of a transfemorally introduced balloon catheter advanced into the left subclavian artery. We found that the combination of endovascular procedures with classical surgery can reduce the risks in the treatment of arteriovenous fistulas.
血管内介入手术为创伤后动静脉瘘的治疗提供了多种方法。我们报告了一例左锁骨下动脉与颈内静脉之间创伤后动静脉瘘合并巨大锁骨下假性动脉瘤的治疗情况。为避免开胸手术，我们通过经股动脉插入球囊导管，将其推进至左锁骨下动脉来控制动脉出血。我们发现血管内介入手术与传统手术相结合可降低动静脉瘘治疗中的风险。
