Tratamento endovascular de fístula traumática de vasos subclávios: relato de caso
| Autor: | Heather Lynn Hauter, José Júlio Bechir Maués |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system procedimentos endovasculares lcsh:Surgery Arteriovenous fistula 030204 cardiovascular system & hematology ferimentos e lesões 03 medical and health sciences 0302 clinical medicine medicine.artery fístula arteriovenosa medicine Endovascular treatment Covered stent Subclavian artery lesões do sistema vascular medicine.diagnostic_test business.industry Mortality rate 030208 emergency & critical care medicine lcsh:RD1-811 medicine.disease Surgery lcsh:RC666-701 Angiography Gunshot wound Cardiology and Cardiovascular Medicine business Penetrating trauma |
| Zdroj: | Jornal Vascular Brasileiro, Vol 17, Iss 3, Pp 248-251 (2018) |
| ISSN: | 1677-7301 |
| Popis: | A 47-year-old male police officer presented at an outpatients consulting room complaining of exertional dyspnea and swelling and pain in the right arm. He had suffered a perforating gunshot wound of the right infraclavicular region 7 months previously. A chest tomography showed considerable dilatation of the subclavian and cervical veins and veins of the right upper limb, with no clear point of arteriovenous communication. His symptoms exacerbated and he was admitted to hospital before the date scheduled for treatment. He underwent endovascular treatment with an 8x100 mm Fluency covered stent that was placed in the right subclavian artery using the through-and-through technique. Control angiography showed that the fistulous defect had been completely sealed. There was significant relief of the symptoms on the first day after the operation. Traumatic lesions of the subclavian artery are rare, but can be associated with high morbidity and mortality rates. Penetrating trauma is the main cause and arteriovenous fistulas should be ruled out when evaluating penetrating injuries in vascular territories. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|