静脉内机械血栓切除术后的先天性动静脉瘘

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-09-19 DOI:10.1016/j.jvscit.2024.101636

Ben Christopher Caputo MD , Lemuel Kirby MD

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引用次数: 0

摘要

治疗急性髂股深静脉血栓越来越多地采用经皮机械和抽吸血栓切除技术。虽然手术并发症很少见，但静脉内机械血栓切除术后意外形成动静脉瘘（AVF）的发生率仍然未知。在此，我们报告了一例 85 岁的病态肥胖女性病例，她患有多种并发症，左下肢水肿、发绀、无脉，继发于先天性股股动静脉瘘。通过独特的穿刺入路技术，在受伤的静脉内进行穿刺并随后使用牙线，成功治疗了动静脉瘘。

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Iatrogenic arteriovenous fistula after endovenous mechanical thrombectomy

Percutaneous mechanical and aspiration thrombectomy techniques are increasingly being employed to treat acute iliofemoral deep venous thrombosis. Although procedural complications are rare, the incidence of inadvertent iatrogenic arteriovenous fistula (AVF) formation after endovenous mechanical thrombectomy remains unknown. Herein, we report the case of an 85-year-old morbidly obese female with multiple comorbidities referred for an edematous, cyanotic, and pulseless left lower extremity secondary to an iatrogenic femorofemoral AVF. The AVF was successfully treated via a unique through-and-through access technique by ensnarement and subsequent flossing within the injured vein.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.