Transvenous Fogarty balloon catheter occlusion of an iatrogenic innominate artery to innominate vein fistula.
Transvenous embolization therapy is reported in a patient who developed a fistula from the innominate artery to the innominate vein as a complication of permanent cardiac pacemaker insertion. A transarterial approach at occlusion was unfavorable due to previous difficult catheterizations, and the patient's poor clinical condition precluded alternative operative intervention. The fistula was successfully closed by transvenous placement of a Fogarty nondetachable balloon catheter after coil and detectable balloon placement attempts were unsuccessful.
Patterson
R D
RD
Department of Radiology, University of Cincinnati College of Medicine, OH 45267.
Tomsick
T A
TA
Wilson
J H
JH
Frey
R T
RT
Deak
A
A
Schreiber
T
T
D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy*; D016122:Brachiocephalic Trunk; D016121:Brachiocephalic Veins; D002404:Catheterization; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D010138:Pacemaker, Artificial