PDF(Pubmed)
Abstract：
Giant femoral arteriovenous fistulas are comparatively uncommon, typically treated through covered stents, coil embolization, and open surgical repair. Nevertheless, these options may not be appropriate for all patients. Herein, we describe a case of traumatic femoral arteriovenous fistulas that led to drastic dilatation of the femoral arteriovenous system and considerable heart failure symptoms due to prolonged lack of treatment. Given the intricate anatomical location of the fistula and the patient\'s severe cardiac dysfunction, surgical repair is often unfeasible. Consequently, we adopted an innovative approach in this case, utilizing a ventricular septal occluder device for fistula closure. This constitutes the first report of an arteriovenous fistula transcatheter closure with a septal occluder.
摘要：
巨大股动静脉瘘比较少见，通常通过覆膜支架治疗，线圈栓塞,和开放式手术修复。然而，这些选择可能并不适合所有患者.在这里，我们描述了一例创伤性股动静脉瘘，由于长期缺乏治疗，导致股动静脉系统急剧扩张和相当大的心力衰竭症状。鉴于瘘管复杂的解剖位置和患者的严重心功能不全，手术修复通常是不可行的。因此,在这种情况下，我们采用了一种创新的方法，利用室间隔封堵器装置闭合瘘管。这是用间隔封堵器经导管封闭动静脉瘘的第一份报告。
