Erschienen in:
01.05.2009 | Case Report
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
verfasst von:
Josef Stasek, Miroslav Lojik, Josef Bis, David Horak, Jaroslav Dusek, Miroslav Brtko, Pavel Polansky, Anush Babu, Jan Vojacek
Erschienen in:
CardioVascular and Interventional Radiology
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Ausgabe 3/2009
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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.