Acquired Arteriovenous Fistulae

Hunter, Glenn C.

doi:10.1016/b978-1-4160-5223-4.00071-8

Cited by 5 publications

(14 citation statements)

References 127 publications

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“…ACF treatment is based primarily on the surgical closure of the fistula during open surgery or an endovascular repair 9 . Blood and blood components should be readily available because bleeding due to manipulation of the lesion may be catastrophic 1 .…”

Section: Discussionmentioning

confidence: 99%

“…Open surgery is often indicated for patients with acute symptoms that need emergency repair. In chronic cases (delayed presentation), this technique is indicated for those with an aortic-iliac-femoral anatomy unfavorable for endovascular repair, and results are better in young and previously healthy patients 9 . As very few of the chronic ACF patients meet this last two requirements, since diagnosis is usually made because of the negative heart repercussion (CHF), this approach turns out to be of little advantage for this group of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, endovascular repair is extremely beneficial, particularly for those with a favorable aortic-iliac-femoral anatomy and high surgical risk, because it exposes these patients, usually older and with other comorbidities, to a less serious aggression (less risk of hemorrhage and/or lesion to neighboring organs) than open surgery 9,17 .…”

Section: Discussionmentioning

confidence: 99%

“…Treatment principles are: 1) close the arterial defect; 2) restore the arterial flow; and 3) perform the venous repair (desirable, but not mandatory). These principles guide both open surgery and endovascular repair 9 .…”

Section: Introductionmentioning

confidence: 99%

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Tratamento endovascular de fístula aortocaval pós-traumática tardia: relato de caso

Cavalcante¹,

Bernardes²,

Rocha³

et al. 2013

J. vasc. bras.

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As fístulas aortocavais são entidades raras e de etiologia variada. Uma minoria é consequente a eventos pós-traumáticos. As manifestações clínicas, nesses casos, podem ser agudas ou tardias. As tardias manifestam-se dias, semanas ou anos após o trauma, principalmente como quadro de insuficiência cardíaca congestiva. O tratamento de tais fístulas pode ser realizado através do reparo direto por cirurgia aberta ou através da abordagem endovascular. Relatamos o caso de um paciente do sexo masculino, de 53 anos que apresentou, 27 anos após um ferimento por arma branca abdominal, sinais importantes de insuficiência cardíaca congestiva, manifestada como palpitações e dispneia, fibrilação atrial paroxística, além de pressão arterial divergente e sopro em epigástrio. A angiotomografia confirmou o diagnóstico de fístula aortocaval e procedeu-se ao tratamento endovascular para o selamento da fístula. O paciente, segundo acompanhamento após três meses, apresentou evolução satisfatória, com melhora significante do quadro e controle adequado da insuficiência cardíaca congestiva.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tratamento endovascular de fístula aortocaval pós-traumática tardia: relato de caso

Cavalcante¹,

Bernardes²,

Rocha³

et al. 2013

J. vasc. bras.

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“…Iatrogenic arteriovenous fistulas can be frequently developed after vessel related invasive procedures and rarely developed after total knee replacement or lumbar disc surgery [1–3]. Herein, we report an unusual case of arteriovenous fistula combined with deep vein thrombosis developed by blunt trauma.…”

Section: Introductionmentioning

confidence: 98%

Distal Femoral Arteriovenous Fistula with Iliac Vein Thrombosis after Blunt Trauma

Kim

Lee

et al. 2017

VSI

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A 39-year-old woman arrived at our emergency department, complaining of severe pain and swelling of her left leg. She had slipped down stairs and injured on her left leg about 3 months ago. Computed tomography angiography showed left distal superficial femoral artery’s pseudoaneurysm with arteriovenous fistula and thrombotic occlusion of left common iliac vein. We decided to do endovascular intervention due to severe venous hypertension and chronic inflammation around the fistula. The femoral arteriovenous fistula was closed via stent-graft (7 mm×5, 9 mm×5 cm) deployment. The occluded left iliac vein was reopened by nitinol metal stenting (12 mm×4 cm, 14 mm×4 cm). The authors report a very rare case of femoral arteriovenous fistula combined with iliac vein thrombosis developed after a blunt trauma.

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VV–ECMO導入時に生じた右鎖骨下動脈–内頚静脈瘻に対してVIABAHN^® ステントグラフトで修復した1例(A case of a right subclavian artery–internal jugular vein fistula that occurred at the time of VV–ECMO cannulation and was treated with VIABAHN^® stent graft)

源

洋征

秀

et al. 2023

Nihon Kyukyu Igakukai Zasshi: Japanese Journal of Japanese Asso

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要旨veno–veous extracorporeal membrane oxygenation（VV–ECMO）導入時に生じた右鎖骨下動脈–内頚静脈瘻（SCA–IJV fistula）に対してVIABAHN®を用いて血管修復を行った1例を経験したため報告する。症例は67歳男性。肺胞蛋白症に対してVV–ECMO補助下で全肺洗浄を行う目的で入院し，術前に右内頚静脈への送血管の挿入を試みた。ガイドワイヤーが下大静脈まで挿入されていることを確認した後，ダイレーターによる拡張を行ったが，抵抗があったため処置を中断した。中断後の造影CT検査で右SCA–IJV fistulaを認めたため，同日に右鎖骨下動脈損傷部にVIABAHN®を留置して修復を行った。第3，7病日にそれぞれ右，左全肺洗浄を実施し，第15病日に退院した。VV–ECMO導入時の合併症としての右SCA–IJV fistulaは稀である。ガイドワイヤーが適切に挿入されていてもダイレーターで血管壁を損傷する場合があり，リアルタイムでダイレーターやカテーテル先端を確認する必要があると考えられた。本症例のように呼吸不全の患者や，呼吸予備能の低下した患者において，SCA–IJV fistulaが生じた場合には，外科的修復は選択しにくく，低侵襲な血管内治療が有用であった。

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Acquired Arteriovenous Fistulae

Cited by 5 publications

References 127 publications

Tratamento endovascular de fístula aortocaval pós-traumática tardia: relato de caso

Tratamento endovascular de fístula aortocaval pós-traumática tardia: relato de caso

Distal Femoral Arteriovenous Fistula with Iliac Vein Thrombosis after Blunt Trauma

VV–ECMO導入時に生じた右鎖骨下動脈–内頚静脈瘻に対してVIABAHN^® ステントグラフトで修復した1例(A case of a right subclavian artery–internal jugular vein fistula that occurred at the time of VV–ECMO cannulation and was treated with VIABAHN^® stent graft)

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Acquired Arteriovenous Fistulae

Cited by 5 publications

References 127 publications

Tratamento endovascular de fístula aortocaval pós-traumática tardia: relato de caso

Tratamento endovascular de fístula aortocaval pós-traumática tardia: relato de caso

Distal Femoral Arteriovenous Fistula with Iliac Vein Thrombosis after Blunt Trauma

VV–ECMO導入時に生じた右鎖骨下動脈–内頚静脈瘻に対してVIABAHN® ステントグラフトで修復した1例(A case of a right subclavian artery–internal jugular vein fistula that occurred at the time of VV–ECMO cannulation and was treated with VIABAHN® stent graft)

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About

VV–ECMO導入時に生じた右鎖骨下動脈–内頚静脈瘻に対してVIABAHN^® ステントグラフトで修復した1例(A case of a right subclavian artery–internal jugular vein fistula that occurred at the time of VV–ECMO cannulation and was treated with VIABAHN^® stent graft)