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Case Reports
Endovascular management of multiple arteriovenous fistulae following failed laser-assisted pacemaker lead extraction.
- David J O'Connor, Jay Gross, Brian King, William D Suggs, Nicholas J Gargiulo, and Evan C Lipsitz.
- Division of Vascular Surgery, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, New York 10467, USA.
- J. Vasc. Surg. 2010 Jun 1;51(6):1517-20.
AbstractA woman presented for evaluation of new-onset left arm edema after failed laser-assisted pacemaker lead extraction. Initial workup demonstrated a left subclavian artery to vein arteriovenous fistula (AVF). She underwent repair of the AVF with placement of a covered stent in the subclavian artery, however, her symptoms did not completely resolve. Investigation revealed a left common carotid artery to left innominate vein AVF, which was repaired by deploying a covered stent retrograde into the left common carotid artery. Her symptoms subsequently resolved. Multiple iatrogenic AVF can be repaired endovascularly, however, a high degree of suspicion for multiple injuries should be maintained.Copyright (c) 2010. Published by Mosby, Inc.
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