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Catheter Cardiovasc Interv ; 83(1): E101-4, 2014 Jan 01.
Article in English | MEDLINE | ID: mdl-24039116

ABSTRACT

Iatrogenic arteriovenous fistula is not a common complication of central venous catheterization. Duct occluder devices have been developed for patent ductus arteriosus occlusions but they may be used for arteriovenous fistula closures. We report a case of iatrogenic brachiocephalic-jugular and aortopulmonary artery fistulas after central venous catheter insertion. The fistulas were successfully managed with duct occluder devices. Due to increasing number of central venous catheterizations, physicians should be aware of this uncommon complication. Transcatheter closing of brachiocephalic-jugular and aortopulmonary artery fistulas by duct occluder devices seems to be a safe and feasible form of treatment.


Subject(s)
Arterio-Arterial Fistula/therapy , Arteriovenous Fistula/therapy , Brachiocephalic Trunk , Catheterization, Central Venous/adverse effects , Catheterization, Peripheral , Endovascular Procedures , Iatrogenic Disease , Jugular Veins , Pulmonary Artery/abnormalities , Aortography/methods , Arterio-Arterial Fistula/diagnosis , Arterio-Arterial Fistula/etiology , Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/etiology , Brachiocephalic Trunk/diagnostic imaging , Catheterization, Peripheral/instrumentation , Endovascular Procedures/instrumentation , Humans , Jugular Veins/diagnostic imaging , Male , Middle Aged , Phlebography/methods , Renal Dialysis , Septal Occluder Device , Tomography, X-Ray Computed , Treatment Outcome
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