Iatrogenic Vertebral Arteriovenous Fistula Treated with a Hemobahn Stent-Graft
Iatrogenic Vertebral Arteriovenous Fistula Treated with a Hemobahn Stent-Graft
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Hemobahn 覆膜支架治疗医源性椎体动静脉瘘
DOI：
10.1177/152660280301000337
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
J. Hunter
中科院分区：
文献类型：
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作者：
Rhyan Priestley;P. Bray;A. Bray;J. Hunter
目的：探讨彩色多普勒超声(CFDU)在椎动静脉瘘(AVF)诊断和支架置入治疗中的应用价值。病例报告：1例45岁男性患者使用CFDU诊断为医源性动静脉瘘，累及右侧椎动静脉。建议进行治疗，因为大量血液通过瘘管分流，并伴随着强烈的杂音。腔内治疗包括在椎动脉内放置覆膜支架以排除瘘。术后CFDU证实治疗成功。结论：CFDU可准确诊断异常病变，如椎动脉动静脉瘘。该技术还可用于计划、治疗和监测植入支架的耐久性，以消除这种类型的缺陷。
Purpose: To illustrate the utility of color flow duplex ultrasound (CFDU) in the diagnosis and stent-graft treatment of a rare arteriovenous fistula (AVF) involving the vertebral artery and vein. Case Report: An iatrogenic AVF involving the right vertebral artery and vein was diagnosed in a 45-year-old man using CFDU. Treatment was recommended due to the large volume of blood shunted through the fistula and the associated loud bruit. Endoluminal treatment involved deployment of a covered stent within the vertebral artery to exclude the fistula. Postoperative CFDU confirmed the success of the treatment. Conclusions: CFDU can be utilized to accurately diagnose unusual lesions, such as AVFs involving the vertebral artery. The technique is also useful in planning treatment and monitoring the durability of stent-grafts implanted to obliterate this type of defect.