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Title: 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

Abstract

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.

Authors:
 [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)
Publication Date:
OSTI Identifier:
21428558
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 32; Journal Issue: 3; Other Information: DOI: 10.1007/s00270-008-9438-x; Copyright (c) 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2008 Springer Science+Business Media, LLC; Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BYPASSES; CAROTID ARTERIES; CLOSURES; FISTULAE; TUBES; VEINS; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; ORGANS; PATHOLOGICAL CHANGES

Citation Formats

Stasek, Josef, E-mail: stasek@fnhk.c, Lojik, Miroslav, Bis, Josef, Horak, David, Dusek, Jaroslav, Brtko, Miroslav, Polansky, Pavel, Babu, Anush, and Vojacek, Jan. 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. United States: N. p., 2009. Web. doi:10.1007/S00270-008-9438-X.
Stasek, Josef, E-mail: stasek@fnhk.c, Lojik, Miroslav, Bis, Josef, Horak, David, Dusek, Jaroslav, Brtko, Miroslav, Polansky, Pavel, Babu, Anush, & Vojacek, Jan. 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. United States. doi:10.1007/S00270-008-9438-X.
Stasek, Josef, E-mail: stasek@fnhk.c, Lojik, Miroslav, Bis, Josef, Horak, David, Dusek, Jaroslav, Brtko, Miroslav, Polansky, Pavel, Babu, Anush, and Vojacek, Jan. Fri . "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". United States. doi:10.1007/S00270-008-9438-X.
@article{osti_21428558,
title = {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},
author = {Stasek, Josef, E-mail: stasek@fnhk.c and Lojik, Miroslav and Bis, Josef and Horak, David and Dusek, Jaroslav and Brtko, Miroslav and Polansky, Pavel and Babu, Anush and Vojacek, Jan},
abstractNote = {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.},
doi = {10.1007/S00270-008-9438-X},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 3,
volume = 32,
place = {United States},
year = {2009},
month = {5}
}