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KMID : 0385919950060010192
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Journal of the Korean Society of Emergency Medicine
1995 Volume.6 No. 1 p.192 ~ p.199
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ARTERIOVENOUS FISTULA FOLLOWING CENTRAL VENOUS CANNULATION: CASE REPORT AND REVIEW OF THE LITERATURE
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원형섭
양기창/정호성/박철완/이 근/김상일/이종호
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Abstract
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A 36-year old woman with end stage renal failure and hypertension was transferred from a university hospital to our emergency department due to a enlarging right cervical mass associated with a palpable thrill and a bruit. Over a 2 month period,
she
required hemodialysis for severe azotemia at a university hospital in Seoul. 3 days after a difficult attempt at a internal jugular cannulation, she developed a progressive swelling in the right lower cervical area.
An arch and primary branch arteriogram revealed a arteriovenous fistula between right innominate artery and internal jugular vein with a large intervening pseudoaneurysm. She underwent vascular surgery within 1 week of injury and subsequent
postoperative angiogram showed complete resolution of the fistula. This rare condition is reported with a review of the literature.
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KEYWORD
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