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Abstract：
A 66-year-old man was referred to our institution for a popliteal arteriovenous fistula (AVF). The patient presented with left lower limb edema associated with a pulsatile popliteal mass with bruit at auscultation, and no sign of lower limb ischemia. Relevant history included penetrating stabbing wound to that leg 50 years prior. A computed tomography scan demonstrated an AVF with a tract 10 mm in length and 6 mm in diameter at the level of the popliteal fossa. An AMPLATZER Vascular Plug III 12 mm (AVP - AGA Medical Corporation, Minneapolis, MN) was initially deployed through a percutaneous femoral arterial access. Initial angiographic check showed inadequate sealing, so the plug was repositioned from the venous side of the AVF with a through-and-through arteriovenous access from the posterior tibial vein, achieving a correct sealing. At 24-month follow-up the patient does not present any complications from the procedure, and the AVF remains occluded.
摘要：
一名66岁的男子因the动静脉瘘（AVF）被转诊到我们的机构。患者在听诊时表现为左下肢水肿，伴有搏动性pop块伴瘀伤，没有下肢缺血的迹象。相关病史包括50年前那条腿的穿透性刺伤。计算机断层扫描显示AVF的长度为10毫米，直径为6毫米，位于the窝水平。AMPLATZER血管塞III12mm(AVP-AGAMedicalCorporation,明尼阿波利斯,MN）最初是通过经皮股动脉通路部署的。最初的血管造影检查显示密封不足，因此，从AVF的静脉侧重新定位塞子，并从胫骨后静脉进入动静脉，实现正确的密封。在24个月的随访中，患者没有出现任何手术并发症，AVF仍然闭塞。
