Abstract
Purpose:
The retrospective evaluation is presented of 3 patients treated with endovascular embolization of arteriovenous fistulas (AVFs) in the subclavian region.
Material and Methods:
Three patients, 2 women and one man, were treated endovascularly in local anesthesia using microcatheters and fibered platinum microcoils. Two patients were asymptomatic and one had unexplained chest pain.
Results:
All 3 AVFs were successfully occluded. One coil slipped through the fistula into the pulmonary circulation but caused no clinical sequelae.
Conclusion:
AVFs in the subclavian region can be treated by using microcatheters and fibered platinum microcoils.
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References
1.
Dion
J. E.
: Principles and methodology . In : Interventional neuroradiology. Endovascular therapy of the central nervous system , p. 1 . Edited by
Viñuela
F.
Raven Press , New York
1992 .
2.
Farhat
K.
Nakhjavan
K.
Cope
C.
: Iatrogenic arteriovenous fistula. A complication of of percutaneous subclavian vein puncture . Chest
67 (1975 ), 480 .
3.
Herbreteau
D.
Aymard
A.
Khayata
M. H.
: Endovascular treatment of arteriovenous fistulas arising from branches of the subclavian artery . J. Vasc. Intervent. Radiol.
4 (1993 ), 237 .
4.
Katz
M. D.
Teitelbaum
G. P.
Pentecost
M. J.
: Diagnostic arteriography and therapeutic transcatheter embolization for post-traumatic pelvic hemorrhage . Semin. Intervent. Radiol.
9 (1992 ), 4 .
5.
Kaufman
S. L.
Martin
L. G.
Zuckerman
A. M.
Koch
S. R.
Silverstein
M. I.
Barton
J. W.
: Peripheral transcatheter embolization with platinum microcoils . Radiology
184 (1992 ), 369 .
6.
Marin
M. L.
Veith
F. J.
: Transluminally placed endovascular stented graft repair for arterial trauma . J. Vasc. Surg.
20 (1994 ), 466 .
7.
Morse
S. S.
Clark
R. A.
Puffenbarger
A.
: Platinum microcoils for therapeutic embolization. Nonneuroradiologic applications . AJR
155 (1990 ), 401 .
8.
Salvador
J. D.
Kavka
S. J.
: Traumatic subclavian arteriovenous fistulae . Angiology
26 (1975 ), 689 .
9.
Sato
O.
Tada
Y.
Sudo
K.
Ueno
A.
Nobori
M.
Idezuki
Y.
: Arteriovenous fistula following central venous catheterization . Arch. Surg.
121 (1986 ), 729 .
10.
Teitelbaum
G. P.
Reed
R. A.
Larsen
D.
: Microcatheter embolization of non-neurologic traumatic vascular lesions . J. Vasc. Intervent. Radiol.
4 (1993 ), 149 .
