RESUMEN
A case of arteriovenous fistula of the left internal mammary artery occluded by Gianturco coil is reported. A 26-year-old male suffered multiple explosive injuries. Right heart failure developed postoperatively. Digital subtraction angiography demonstrated arteriovenous fistulas between the left internal mammary artery and left subclavian and innominate veins. Considering previous multiple surgical interventions and severe general condition of the patient, both arteriovenous fistulas were successfully occluded by transcatheter placement of a Gianturco coil.
Asunto(s)
Fístula Arteriovenosa/terapia , Traumatismos por Explosión/terapia , Venas Braquiocefálicas/lesiones , Embolización Terapéutica/instrumentación , Arterias Mamarias/lesiones , Vena Subclavia/lesiones , Adulto , Angiografía de Substracción Digital , Fístula Arteriovenosa/diagnóstico por imagen , Fístula Arteriovenosa/etiología , Traumatismos por Explosión/diagnóstico por imagen , Traumatismos por Explosión/cirugía , Venas Braquiocefálicas/diagnóstico por imagen , Gasto Cardíaco Bajo/etiología , Cateterismo Venoso Central/instrumentación , Explosiones , Humanos , Masculino , Arterias Mamarias/diagnóstico por imagen , Vena Subclavia/diagnóstico por imagenRESUMEN
Results of therapeutic embolization of aneurysmal bone cysts in five patients are described. Transcatheter arterial embolization was performed with Ivalon and Gelfoam particles and Gianturco coils. The postembolization period was characterized by complete relief of pain and decrease in size of the aneurysmal bone cyst in all patients. In patients whose follow-up was longer than 12 months, sclerosis and recalcification of bone were present. There were no complications.
