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Amplatzer vascular plug closure of a subclavian arteriovenous fistula associated with implantable cardioverter‐defibrillator implantation
Author(s) -
Hess Connie Ng,
Ohman E. Magnus,
Patel Manesh R.
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22792
Subject(s) - medicine , implantable cardioverter defibrillator , arteriovenous fistula , complication , percutaneous , cardiology , surgery , vascular disease , fistula , cardiac catheterization , interventional cardiology , occlusion , radiology
Subclavian arteriovenous fistula (AVF) is a rare complication of implantable cardioverter‐defibrillator (ICD) implantation. This report illustrates the case of a subclavian AVF after ICD implantation in a patient with nonischemic cardiomyopathy and the successful closure of this AVF using an Amplatzer vascular occlusion plug. Given the increasing number of ICD implantations, physicians should be made aware of this uncommon complication. In addition, as more percutaneous endovascular techniques are developed to treat peripheral vascular and structural heart disease, iatrogenic AVFs may occur more frequently. The Amplatzer vascular plug should be considered as a potential treatment strategy for AVFs alongside other endovascular and surgical techniques. © 2011 Wiley‐Liss, Inc.