用 Amplatzer Vascular Plug II 治疗外伤性髂动静脉瘘:病例报告和文献综述。

Vascular and endovascular surgery Pub Date : 2024-07-01 Epub Date: 2023-12-29 DOI:10.1177/15385744231225375
Rui An, Jiatao Li, Tianyi Zhu, Yanrong Zhang, Yunsong Li, Liang Li, Ruijiao Gao, Xiangdong Liu, Pengkai Cao
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引用次数: 0

摘要

外伤性髂动静脉瘘是一种罕见的血管损伤并发症。开放手术修复术后并发症的发生率较高。近年来,血管内治疗显示出更好的疗效。我们报告了一名 62 岁的女性动静脉瘘患者,其刀伤病史超过 16 年。计算机断层扫描血管造影术(CTA)显示,右侧髂内动脉和髂总静脉之间有一个巨大的动静脉瘘。在考虑了患者的相关情况后,成功实施了血管内方法,植入了 Amplatzer Vascular Plug II,以阻断异常的血管沟通并保持动静脉通畅。最终的对照图像显示动静脉沟通已经闭合。
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Traumatic Iliac Arteriovenous Fistula Treated With the Amplatzer Vascular Plug II: A Case Report and Literature Review.

Traumatic iliac arteriovenous fistula is a rare complication of vascular injury. Open surgical repair has an incidence of postoperative complications. In recent years, endovascular treatment has shown better efficacy. We report a 62-year-old female AVF patient with a stab injury history of more than 16 years. Computed tomography angiography (CTA) revealed a large arteriovenous fistula between the right internal iliac artery and the common iliac vein. After considering the patient's relevant conditions, an endovascular approach was satisfactorily performed with the implantation of an Amplatzer Vascular Plug II to interrupt the abnormal vascular communication and maintain arterial and venous patency. The final control images showed closure of the arteriovenous communication.

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