Secondary arteriovenous malformation due to subclavian vein occlusion

Yukari Nakajima, MD; Noriko Aramaki, MD; Kazuo Kishi, MD; Masashi Tamura, MD; Seishi Nakatsuka, MD; Masahiro Jinzaki, MD; Masanori Inoue, MD

Radiology Case Reports (Oct 2022)

Secondary arteriovenous malformation due to subclavian vein occlusion

Yukari Nakajima, MD,
Noriko Aramaki, MD,
Kazuo Kishi, MD,
Masashi Tamura, MD,
Seishi Nakatsuka, MD,
Masahiro Jinzaki, MD,
Masanori Inoue, MD

Affiliations

Yukari Nakajima, MD: Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan
Noriko Aramaki, MD: Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan
Kazuo Kishi, MD: Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan
Masashi Tamura, MD: Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan
Seishi Nakatsuka, MD: Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan
Masahiro Jinzaki, MD: Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan
Masanori Inoue, MD: Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ward, Tokyo 160-8582, Japan; Corresponding author.

Journal volume & issue: Vol. 17, no. 10
pp. 3591 – 3594

Abstract

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An 80-year-old man underwent rectal resection and insertion of a central venous catheter through the left subclavian vein 16 years earlier. Following surgery, he developed edema of his left upper limb that became exacerbated and infected. Computed tomography showed occlusion of the subclavian vein and multiple arteriovenous shunts from the branches of the axillary artery to the venous sac of the axillary vein. Angiography confirmed numerous shunts between the branches of the axillary artery and vein and dilated collateral veins. Embolization of the venous sac was performed using coils, alcohol, and glue. Postprocedural angiography showed complete eradication of the nidus.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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