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.
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.
Stasek
Josef
J
1st Department of Medicine, Faculty of Medicine Hradec Kralove, Charles University Prague, Cardiocenter of University Hospital Hradec Kralove, Sokolska 581, 500 05, Hradec Kralove, Czech Republic. stasek@fnhk.cz
Lojik
Miroslav
M
Bis
Josef
J
Horak
David
D
Dusek
Jaroslav
J
Brtko
Miroslav
M
Polansky
Pavel
P
Babu
Anush
A
Vojacek
Jan
J
D000368:Aged; D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D016121:Brachiocephalic Veins / Q000293:injuries*; D006328:Cardiac Catheterization / Q000379:methods*; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D015607:Stents; D014057:Tomography, X-Ray Computed