有症状的动静脉畸形和外周动脉疾病的血管内碎石和线圈栓塞治疗

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-07 DOI:10.1016/j.jvscit.2025.101802

Jonathan P. Kerr BS, ADN , Emily L. Unrue DO , Robert W. Abdu DO , Gregory G. Salzler MD , Evan J. Ryer MD , James R. Elmore MD

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引用次数: 0

摘要

一名87岁男性患者表现为左腿疼痛、搏动性肿块，诊断为高流量动静脉畸形（AVM）伴闭塞、钙化腘动脉。AVM由胫骨前动脉和腓骨动脉的侧支血流维持。为了使导管能够进入胫骨血管并通过优势的胫骨后动脉恢复远端灌注，在线圈栓塞之前进行了血管内碎石和球囊血管成形术。血管造影证实腘窝血运重建成功，胫骨血流恢复，AVM消退。本病例强调了外周动脉闭塞性疾病患者在AVM栓塞前处理动脉流入的重要性。

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Symptomatic arteriovenous malformation and peripheral arterial disease treated with intra-vascular lithotripsy and coil embolization

An 87-year-old male presented with a painful, pulsatile mass on the left leg, diagnosed as a high-flow arteriovenous malformation (AVM) with an occluded, calcified popliteal artery. The AVM was sustained by collateral flow from the anterior tibial and peroneal arteries. To enable catheter access to feeding tibial vessels and restore distal perfusion via the dominant posterior tibial artery, intravascular lithotripsy and balloon angioplasty were performed before coil embolization. Completion angiography confirmed successful popliteal revascularization, restored tibial flow, and AVM resolution. This case highlights the importance of addressing arterial inflow before AVM embolization in patients with peripheral arterial occlusive disease.

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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.