Case Report
Occlusion of a Pulmonary Arteriovenous Fistula With an Amplatzer Vascular Plug
Sebastián Baldi
, Román D. Rostagno, Tobías Zander, Martín Rabellino, Manuel Maynar
Corresponding author
sebaldi73@yahoo.com
Correspondence: Dr. S. Baldi. Servicio de Diagnóstico y Terapéutica Endoluminal. Hospital Hospiten Rambla. Rambla General Franco, 115. 38001 Santa Cruz de Tenerife. España
Correspondence: Dr. S. Baldi. Servicio de Diagnóstico y Terapéutica Endoluminal. Hospital Hospiten Rambla. Rambla General Franco, 115. 38001 Santa Cruz de Tenerife. España
Sebastián Baldi, Román D. Rostagno, Tobías Zander, Martín Rabellino, and Manuel Maynar
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Rostagno, Tobías Zander, Martín Rabellino, Manuel Maynar" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Sebastián" "apellidos" => "Baldi" "email" => array:1 [ 0 => "sebaldi73@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Román D." "apellidos" => "Rostagno" ] 2 => array:2 [ "nombre" => "Tobías" "apellidos" => "Zander" ] 3 => array:2 [ "nombre" => "Martín" "apellidos" => "Rabellino" ] 4 => array:2 [ "nombre" => "Manuel" "apellidos" => "Maynar" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sebastián Baldi, Román D. Rostagno, Tobías Zander, Martín Rabellino, and Manuel Maynar" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. S. Baldi. Servicio de Diagnóstico y Terapéutica Endoluminal. Hospital Hospiten Rambla. Rambla General Franco, 115. 38001 Santa Cruz de Tenerife. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-03-01" "fechaAceptado" => "2006-04-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154853" "palabras" => array:5 [ 0 => "Pulmonary arteriovenous malformations" 1 => "Amplatzer vascular plug" 2 => "Embolotherapy" 3 => "Rendu-Osler-Weber Syndrome" 4 => "Hereditary hemorrhagic telangiectasia" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154852" "palabras" => array:5 [ 0 => "Malformaciones arteriovenosas pulmonares" 1 => "Tapón vascular Amplatzer" 2 => "Embolización" 3 => "Síndrome de Rendu-Osler-Weber" 4 => "Telangrectasia hemorrágica hereditaria" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Pulmonary arteriovenous malformations are rare anomalies that carry a considerable risk of serious complications such as cerebral thromboembolism or abscess and pulmonary hemorrhage. The first-line treatment of such malformations is detachable coil or balloon embolotherapy. However, coils and balloons may migrate and cause paradoxical embolism especially in malformations with large arteriovenous shunts. We report a case in which we used a new vascular occlusion device (Amplatzer vascular plug) to occlude a pulmonary arteriovenous fistula in a patient with Rendu–Osler–Weber syndrome.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Las malformaciones arteriovenosas pulmonares son anomalías poco frecuentes del pulmón, que entrañan un riesgo considerable de complicaciones graves como la tromboembolia cerebral, el absceso cerebral y la hemorragia pulmonar. La embolización con <span class="elsevierStyleItalic">coils</span> o con balones desprendibles es el tratamiento de elección. Sin embargo, éstos pueden migrar y producir embolia paradójica, especialmente en las malformaciones con comunicaciones arteriovenosas grandes.</p><p class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso en el que utilizamos un nuevo dispositivo de oclusión vascular (tapón vascular Amplatzer) para ocluir una fístula arteriovenosa pulmonar en un paciente con síndrome de Rendu-Osler-Weber.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical and anatomic outcomes after embolotherapy of pulmonary arteriovenous malformations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "JS Pollak" 1 => "S Saluja" 2 => "A Thabet" 3 => "KJ Hederson" 4 => "N Denbow" 5 => "RI White" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/01.RVI.0000191410.13974.B6" "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2006" "volumen" => "17" "paginaInicial" => "35" "paginaFinal" => "45" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16415131" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary arteriovenous malformations. 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