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  • Title: Transcatheter closure of a chronic iatrogenic arteriovenous fistula between the carotid artery and the brachiocephalic vein with an Amplatzer duct occluder in combination with a carotid stent.
    Author: Stasek J, Lojik M, Bis J, Horak D, Dusek J, Brtko M, Polansky P, Babu A, Vojacek J.
    Journal: Cardiovasc Intervent Radiol; 2009 May; 32(3):568-71. PubMed ID: 18836769.
    Abstract:
    We report an original method of transcatheter closure of an arteriovenous fistula using the combination of an Amplatzer PDA occluder and a carotid stent. The fistula was between the left carotid artery and the brachiocephalic vein. The patient had significant left-to-right shunt and was highly symptomatic. Due to the large orifice and pseudoaneurysmatic enlargement of the fistula, we had to use a large Amplatzer PDA occluder and the protruding part of the PDA device disk had to be covered with a carotid stent. The fistula was completely closed. The patient stopped having symptoms and, 2 years after the procedure, the effect persists.
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