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Transcatheter Closure of a Chronic Iatrogenic Arteriovenous Fistula Between the Carotid Artery and the Brachiocephalic Vein with an Amplatzer Duct Occluder in Combination with a Carotid Stent

Journal Article · · Cardiovascular and Interventional Radiology
 [1];  [2];  [1];  [3];  [1]; ;  [4]; ;  [1]
  1. Charles University Prague, Cardiocenter of University Hospital Hradec Kralove, 1st Department of Medicine, Faculty of Medicine Hradec Kralove (Czech Republic)
  2. Charles University Prague, Cardiocenter of University Hospital Hradec Kralove, Department of Radiology, Faculty of Medicine Hradec Kralove (Czech Republic)
  3. Regional Hospital Liberec, Department of Cardiology (Czech Republic)
  4. Charles University Prague, Cardiocenter of University Hospital Hradec Kralove, Department of Cardiovascular Surgery, Faculty of Medicine Hradec Kralove (Czech Republic)
+ Show Author Affiliations

We report an original method of transcatheter closure of an arteriovenous fistula using the combination of an Amplatzer PDA occluder and a carotid stent. The fistula was between the left carotid artery and the brachiocephalic vein. The patient had significant left-to-right shunt and was highly symptomatic. Due to the large orifice and pseudoaneurysmatic enlargement of the fistula, we had to use a large Amplatzer PDA occluder and the protruding part of the PDA device disk had to be covered with a carotid stent. The fistula was completely closed. The patient stopped having symptoms and, 2 years after the procedure, the effect persists.

OSTI ID:
21428558
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 3 Vol. 32; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD VESSELS
BODY
BYPASSES
CARDIOVASCULAR SYSTEM
CAROTID ARTERIES
CLOSURES
FISTULAE
ORGANS
PATHOLOGICAL CHANGES
TUBES
VEINS