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Cardiovasc Intervent Radiol · May 2009
Case ReportsTranscatheter 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.
- Josef Stasek, Miroslav Lojik, Josef Bis, David Horak, Jaroslav Dusek, Miroslav Brtko, Pavel Polansky, Anush Babu, and Jan Vojacek.
- 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
- Cardiovasc Intervent Radiol. 2009 May 1; 32 (3): 568-71.
AbstractWe 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.
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