关键词: case report coil embolization covered stent endovascular treatment (EVT) superior mesenteric arteriovenous fistula (SMAVF)

来  源:   DOI:10.3389/fcvm.2024.1414395   PDF(Pubmed)

Abstract:
UNASSIGNED: Superior mesenteric arteriovenous fistula is a rare and difficult complication after abdominal trauma. Utilizing comprehensive endovascular treatment represents an effective approach to managing this condition.
UNASSIGNED: We report a case involving a 53-year-old female with a history of trauma who presented with complaints of abdominal pain, malaise, and melena. A computed tomographic scan revealed the presence of a superior mesenteric arteriovenous fistula. The fistula was occluded using four Interlock detachable coils, and a covered stent was positioned over the arteriovenous fistula in the superior mesenteric artery. Following endovascular treatment, the patient\'s abdominal pain and melena symptoms disappeared.
UNASSIGNED: Utilizing covered stents and Interlock detachable coils for endovascular treatment of a superior mesenteric arteriovenous fistula proves to be both feasible and highly effective.
摘要:
肠系膜上动静脉瘘是腹部创伤后一种罕见且困难的并发症。利用全面的血管内治疗代表了管理这种状况的有效方法。
我们报告了一例有外伤史的53岁女性,主诉腹痛,萎靡不振,还有Melena.计算机断层扫描显示存在肠系膜上动静脉瘘。用四个互锁可拆卸线圈封堵瘘管,在肠系膜上动脉的动静脉瘘上方放置了覆膜支架。血管内治疗后,患者的腹痛和黑便症状消失。
使用覆膜支架和互锁可拆卸线圈对肠系膜上动静脉瘘进行血管内治疗被证明是可行且高效的。
公众号