Tratamiento endovascular de fístula arteriovenosa y falso aneurisma poplíteos postraumáticos. Presentación de un caso
Endovascular treatment of post-traumatic popliteal arteriovenous fistula and false aneurysm. a case report
L. Sáez-Martína,
, L.F. Riera-Del Morala, A. Fernández-Herederoa, M. Gutiérrez-Nistala, M.E. Pillado-Rodrígueza, G. Garzón-Mollb, I. Leblic-Ramíreza, C. Mendieta-Azconaa, S. Stefanov-Kiuria, S. Fernández-Alonsoa, A. Hernández-Díaza, L. Riera-De Cubasa
Autor para correspondencia
escribano60@hotmail.com
Correspondencia: Servicio de Angiología y Cirugía Vascular. Hospital Universitario La Paz. P.° de la Castellana, 261. E-28046 Madrid.
Correspondencia: Servicio de Angiología y Cirugía Vascular. Hospital Universitario La Paz. P.° de la Castellana, 261. E-28046 Madrid.
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E-28046 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Endovascular treatment of post-traumatic popliteal arteriovenous fistula and false aneurysm. a case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2006-04-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec188371" "palabras" => array:6 [ 0 => "Eco-Doppler" 1 => "Endovascular" 2 => "Fístula arteriovenosa" 3 => "Postraumático" 4 => "Stent" 5 => "Vasos poplíteos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec188372" "palabras" => array:6 [ 0 => "Arteriovenous fistula" 1 => "Echo-Doppler" 2 => "Endovascular" 3 => "Popliteal vessels" 4 => "Post-traumatic" 5 => "Stent-graft" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La fístula arteriovenosa (FAV) postraumática que afecta a los vasos poplíteos es una patología de incidencia escasa cuyo tratamiento hasta ahora ha sido quirúrgico; no obstante, también se puede lograr la oclusión de la fístula mediante la implantación de un <span class="elsevierStyleItalic">stent</span> recubierto intraarterial, con reducción extraordinaria tanto del tiempo quirúrgico como de la estancia hospitalaria del paciente.</p> <span class="elsevierStyleSectionTitle">Caso clínico</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Varón de 29 años con una FAV en la segunda porción de poplítea derecha, así como falso aneurisma de dos años de evolución provocados por traumatismo por arma blanca. Tras el estudio preoperatorio correspondiente que incluía eco-Doppler y arteriografía, se decidió tratamiento mediante técnica endovascular, que consistió en la implantación de un <span class="elsevierStyleItalic">stent</span> recubierto en la arteria poplítea, con lo que se consiguió al mismo tiempo la oclusión de la fístula y de la comunicación con el falso aneurisma. El tiempo quirúrgico fue de 60 minutos, no se requirió transfusión sanguínea y se dio de alta al paciente en el quinto día de postoperatorio. El eco-Doppler realizado a los 90 días de la intervención muestra la arteria y la vena poplíteas permeables con ausencia de comunicación entre ellas, así como trombosis del falso aneurisma.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las técnicas endovasculares constituyen una alternativa a la cirugía en casos de FAV postraumáticas que afectan a vasos de calibre grande y mediano.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Post-traumatic arteriovenous fistula (AVF) involving the popliteal vessels is a pathology with a poor incidence being open surgery its treatment of choice. Nowadays however the total occlusion of the fistula can also be achieved by means of the implantation of a covered stent-graft, which implies an important reduction of both surgical time and hospital stay.</p> <span class="elsevierStyleSectionTitle">Case report</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A 29-year old man who had a stab wound in the right popliteal fossa two years earlier was admitted with a popliteal AVF involving the middle popliteal segment along with a false aneurysm. After echo-Doppler examination and arteriography the patient was assessed for endovascular treatment that consisted in the implantation of a covered stent-graft thus achieving the occlusion of both the fistula and the false aneurysm. The procedure lasted 60 minutes, blood transfusion was not required and the patient was discharged on the 5th postoperative day. 90 days after operation an echo-Doppler examination was performed that showed patency of both artery and vein, absence of fistula and thrombosis of the false aneurysm.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Endovascular techniques are an alternative to open surgery in the treatment of post-traumatic AVF involving large or middle size vessels.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 8 | 7 | 15 |
| 2024 Septiembre | 8 | 11 | 19 |
| 2024 Agosto | 8 | 9 | 17 |
| 2024 Julio | 12 | 4 | 16 |
| 2024 Junio | 9 | 11 | 20 |
| 2024 Mayo | 13 | 10 | 23 |
| 2024 Abril | 12 | 9 | 21 |
| 2024 Marzo | 16 | 33 | 49 |
| 2024 Febrero | 18 | 15 | 33 |
| 2024 Enero | 10 | 5 | 15 |
| 2023 Diciembre | 16 | 32 | 48 |
| 2023 Noviembre | 14 | 16 | 30 |
| 2023 Octubre | 14 | 39 | 53 |
| 2023 Septiembre | 10 | 15 | 25 |
| 2023 Agosto | 11 | 28 | 39 |
| 2023 Julio | 11 | 24 | 35 |
| 2023 Junio | 16 | 0 | 16 |
| 2023 Mayo | 23 | 6 | 29 |
| 2023 Abril | 32 | 2 | 34 |
| 2023 Marzo | 15 | 3 | 18 |
| 2023 Febrero | 19 | 14 | 33 |
| 2023 Enero | 3 | 4 | 7 |
| 2022 Diciembre | 12 | 7 | 19 |
| 2022 Noviembre | 26 | 34 | 60 |
| 2022 Octubre | 19 | 19 | 38 |
| 2022 Septiembre | 8 | 5 | 13 |
| 2022 Agosto | 14 | 16 | 30 |
| 2022 Julio | 10 | 8 | 18 |
| 2022 Junio | 9 | 17 | 26 |
| 2022 Mayo | 10 | 28 | 38 |
| 2022 Abril | 16 | 16 | 32 |
| 2022 Marzo | 16 | 12 | 28 |
| 2022 Febrero | 20 | 8 | 28 |
| 2022 Enero | 34 | 9 | 43 |
| 2021 Diciembre | 7 | 15 | 22 |
| 2021 Noviembre | 11 | 11 | 22 |
| 2021 Octubre | 6 | 11 | 17 |
| 2021 Septiembre | 2 | 7 | 9 |
| 2021 Agosto | 5 | 11 | 16 |
| 2021 Julio | 6 | 4 | 10 |
| 2021 Junio | 8 | 9 | 17 |
| 2021 Mayo | 11 | 8 | 19 |
| 2021 Abril | 9 | 7 | 16 |
| 2021 Marzo | 7 | 21 | 28 |
| 2021 Febrero | 9 | 20 | 29 |
| 2021 Enero | 11 | 11 | 22 |
| 2020 Diciembre | 7 | 9 | 16 |
| 2020 Noviembre | 5 | 8 | 13 |
| 2020 Octubre | 10 | 8 | 18 |
| 2020 Septiembre | 14 | 3 | 17 |
| 2020 Agosto | 8 | 19 | 27 |
| 2020 Julio | 11 | 10 | 21 |
| 2020 Junio | 13 | 11 | 24 |
| 2020 Mayo | 13 | 12 | 25 |
| 2020 Abril | 9 | 10 | 19 |
| 2020 Marzo | 5 | 8 | 13 |
| 2020 Febrero | 0 | 5 | 5 |
| 2020 Enero | 0 | 15 | 15 |
| 2019 Diciembre | 0 | 8 | 8 |
| 2019 Noviembre | 0 | 4 | 4 |
| 2019 Octubre | 0 | 7 | 7 |
| 2019 Septiembre | 0 | 12 | 12 |
| 2019 Agosto | 0 | 6 | 6 |
| 2019 Julio | 0 | 16 | 16 |
| 2019 Junio | 0 | 6 | 6 |
| 2019 Mayo | 0 | 73 | 73 |
| 2019 Abril | 0 | 17 | 17 |
| 2019 Marzo | 0 | 4 | 4 |
| 2019 Febrero | 0 | 6 | 6 |
| 2019 Enero | 0 | 2 | 2 |
| 2018 Diciembre | 0 | 4 | 4 |
| 2018 Noviembre | 0 | 12 | 12 |
| 2018 Octubre | 0 | 7 | 7 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 2 | 16 | 18 |
| 2018 Enero | 7 | 6 | 13 |
| 2017 Diciembre | 1 | 3 | 4 |
| 2017 Noviembre | 3 | 14 | 17 |
| 2017 Octubre | 3 | 10 | 13 |
| 2017 Septiembre | 3 | 18 | 21 |
| 2017 Agosto | 6 | 14 | 20 |
| 2017 Julio | 3 | 11 | 14 |
| 2017 Junio | 0 | 26 | 26 |
| 2017 Mayo | 4 | 21 | 25 |
| 2017 Abril | 13 | 4 | 17 |
| 2017 Marzo | 12 | 19 | 31 |
| 2017 Febrero | 2 | 25 | 27 |
| 2017 Enero | 4 | 10 | 14 |
| 2016 Diciembre | 17 | 10 | 27 |
| 2016 Noviembre | 27 | 9 | 36 |
| 2016 Octubre | 20 | 10 | 30 |
| 2016 Septiembre | 12 | 8 | 20 |
| 2016 Agosto | 9 | 9 | 18 |
| 2016 Julio | 7 | 1 | 8 |
| 2016 Junio | 12 | 15 | 27 |
| 2016 Mayo | 8 | 20 | 28 |
| 2016 Abril | 5 | 18 | 23 |
| 2016 Marzo | 11 | 13 | 24 |
| 2016 Febrero | 9 | 13 | 22 |
| 2016 Enero | 15 | 17 | 32 |
| 2015 Diciembre | 15 | 12 | 27 |
| 2015 Noviembre | 8 | 9 | 17 |
| 2015 Octubre | 11 | 12 | 23 |
| 2015 Septiembre | 17 | 17 | 34 |
| 2015 Agosto | 4 | 5 | 9 |
| 2015 Julio | 6 | 14 | 20 |
| 2015 Junio | 3 | 15 | 18 |
| 2015 Mayo | 3 | 14 | 17 |
| 2015 Abril | 5 | 15 | 20 |
| 2015 Marzo | 9 | 11 | 20 |
| 2015 Febrero | 5 | 7 | 12 |
| 2015 Enero | 9 | 1 | 10 |
| 2014 Diciembre | 17 | 2 | 19 |
| 2014 Noviembre | 19 | 1 | 20 |
| 2014 Octubre | 39 | 3 | 42 |
| 2014 Septiembre | 18 | 1 | 19 |
| 2014 Agosto | 16 | 2 | 18 |
| 2014 Julio | 9 | 1 | 10 |
| 2014 Junio | 17 | 1 | 18 |
| 2014 Mayo | 13 | 3 | 16 |
| 2014 Abril | 6 | 2 | 8 |
| 2014 Marzo | 9 | 1 | 10 |
| 2014 Febrero | 14 | 2 | 16 |
| 2014 Enero | 20 | 3 | 23 |
| 2013 Diciembre | 23 | 3 | 26 |
| 2013 Noviembre | 18 | 8 | 26 |
| 2013 Octubre | 10 | 5 | 15 |
| 2013 Septiembre | 10 | 8 | 18 |
| 2013 Agosto | 15 | 1 | 16 |
| 2013 Julio | 9 | 0 | 9 |
| 2006 Junio | 126 | 0 | 126 |
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