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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 |
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| Authors: | Josef Stasek Miroslav Lojik Josef Bis David Horak Jaroslav Dusek Miroslav Brtko Pavel Polansky Anush Babu Jan Vojacek |
| Affiliation: | (1) 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;(2) Department of Radiology, Faculty of Medicine Hradec Kralove, Charles University Prague, Cardiocenter of University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic;(3) Department of Cardiology, Regional Hospital Liberec, Husova 10, 460 63 Liberec, Czech Republic;(4) Department of Cardiovascular Surgery, Faculty of Medicine Hradec Kralove, Charles University Prague, Cardiocenter of University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic |
| Abstract: | 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. |
| Keywords: | Arteriovenous fistula Amplatzer duct occluder Carotid artery Brachicefalic vein Carotid stent |
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