Endovascular occlusion of primary major pelvic arteriovenous fistula using patent ductus arteriosus occluder.
The aim of the present study was to investigate the effects and safety of a patent ductus arteriosus occluder (PDAO) in the management of major abdominal arteriovenous fistula. A 56-year-old man was admitted into our hospital, presenting with impeded defecation and claudication. Computed tomographic angiography (CTA) was conducted upon admission, which revealed an aneurysm-like lesion, with the left internal iliac artery as its feeding artery. Super-selective embolization treatment was accomplished using a single PDAO. The results of the CTA at follow-up showed no recanalization of the lesion and that a PDAO was at the site. The patient had no pelvic ischemia complications.
Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
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L
Xu
Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
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Z
Wu
Department of Vascular and Endovascular Surgery, Changzheng Hospital, The Second Military Medical University, Shanghai, China qulefengsubmit@163.com.
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L
Qu
Loma Linda University School of Medicine, Loma Linda, CA, USA.
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S
Burchell
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged
arteriovenous fistula; embolization; endovascular therapy; patent ductus arteriosus occluder (PDAO)