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Published in: CardioVascular and Interventional Radiology 3/2009

01-05-2009 | Case Report

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

Authors: Josef Stasek, Miroslav Lojik, Josef Bis, David Horak, Jaroslav Dusek, Miroslav Brtko, Pavel Polansky, Anush Babu, Jan Vojacek

Published in: CardioVascular and Interventional Radiology | Issue 3/2009

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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.
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Metadata
Title
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
Authors
Josef Stasek
Miroslav Lojik
Josef Bis
David Horak
Jaroslav Dusek
Miroslav Brtko
Pavel Polansky
Anush Babu
Jan Vojacek
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2009
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-008-9438-x

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