Endovascular treatment with aortic endoprostheses for subclavian artery aneurysm secondary to late traumatic axillary-axillary arteriovenous fistula
Autor: | Grillo, Vinicius Tadeu Ramos da Silva, Jaldin, Rodrigo Gibin, Rosa, Felipe Damascena, Secondo, Mariana Thais Silva, Farres Pimenta, Rafael Elias, Bertanha, Matheus, Sobreira, Marcone Lima, Yoshida, Winston Bonetti |
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Přispěvatelé: | Universidade Estadual Paulista (UNESP) |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Therapeutic Challenge
Subclavian artery procedimentos endovasculares endovascular procedures vascular system injuries subclavian artery Endovascular procedure fístula arteriovenosa artéria subclávia cardiovascular diseases Desafio Terapêutico arteriovenous fistula lesões do sistema vascular Vascular system injuries Arteriovenous fistula |
Zdroj: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP Jornal Vascular Brasileiro |
Popis: | Made available in DSpace on 2022-04-29T08:40:02Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-01-01 Traumatic arteriovenous fistulas (AVFs) involving the axillary and subclavian vessels are uncommon and account for 5 to 10% of all arterial traumas. The complex anatomy of this region makes treatment of this segment challenging. In this therapeutic challenge, we describe the case of a 73-year-old man, referred for progressive edema and ulceration involving the right upper limb and with a history of gunshot wound to the right infraclavicular region about 50 years previously. Angiotomography was performed and an axillary-axillary AVF was found, associated with tortuosity and aneurysmatic dilation of the subclavian artery downstream. He underwent endovascular intervention and a conical (monoiliac) 26 × 14 × 90 mm Braile® endoprosthesis was used in the aneurysmatic subclavian artery, posterior to the exit of the right vertebral artery and a 16 × 16 × 95mm Excluder® monoiliac endoprosthesis was placed overlapping the first prosthesis, showing a satisfactory result. Therefore, the possibility of successfully using aortic endoprostheses in an unusual and exceptional situation is described. Universidade Estadual “Júlio de Mesquita Filho” – UNESP Faculdade de Medicina de Botucatu Hospital das Clínicas, SP Universidade Estadual “Júlio de Mesquita Filho” – UNESP Faculdade de Medicina de Botucatu Hospital das Clínicas, SP |
Databáze: | OpenAIRE |
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