Coil Embolization of Tributaries of Brachiocephalic Fistula is Effective in the Management of Vascular Steal.
Ann Vasc Surg
; 72: 307-314, 2021 Apr.
Article
en En
| MEDLINE
| ID: mdl-32950626
ABSTRACT
BACKGROUND:
To determine if an aggressive approach to occlude all or majority of the tributaries of the cephalic vein is effective in eliminating signs and symptoms of vascular steal in patients with brachiocephalic fistula.METHODS:
Retrospective chart review over a 15-month period of all patients managed with coil embolization of tributaries of brachiocephalic fistulae.RESULTS:
A total of 19 patients (11 females, age 65 ± 9.7 years), presented with signs and symptoms of vascular steal. All patients had a brachiocephalic fistula with a 6.3 month average fistula age. Overall, a total of 111 coils were used to occlude 42 tributaries. Two patients had concomitant surgical ligation of 3 tributaries. Postoperative pain at the site of coiled tributaries was reported by two patients. A single patient suffered a major postprocedure complication (delayed hypotension), requiring hospital admission. All but one patient had significant improvement in symptoms of vascular steal postintervention.CONCLUSIONS:
An aggressive approach to coil embolization of all major tributaries of a brachiocephalic fistula is effective in eliminating signs and symptoms of vascular steal.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Venas
/
Derivación Arteriovenosa Quirúrgica
/
Tronco Braquiocefálico
/
Extremidad Superior
/
Embolización Terapéutica
/
Isquemia
Tipo de estudio:
Etiology_studies
/
Observational_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Vasc Surg
Asunto de la revista:
ANGIOLOGIA
Año:
2021
Tipo del documento:
Article