Endovascular treatment for iliac artery pseudoaneurysm with arteriovenous fistula after abdominal aortic aneurysm open repair

Fukushima, Rodrigo Bono; Wolosker, Nelson; Benitti, Daniel Augusto; Puech-Leão, Pedro

doi:10.1590/s1807-59322011000800033

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…According to the current guidelines, CTA represents the reference non invasive imaging modality for the diagnosis of anastomotic pseudoaneurysms and their associated complications. It can also reveal signs of impending pseudoaneurysm rupture (fissure existence or lack of thrombus homogeneity), and help at therapeutic approach planning [14, 15]. In comparison to Digital Subtraction Angiography (DSA), CTA is a faster, more accurate and less costly technique, more easily accessible to the patient.…”

Section: Discussionmentioning

confidence: 99%

Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation

Smarda

Fagkrezos

Dodos

et al. 2019

Case Reports in Vascular Medicine

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A 74-year-old male patient was presented with scrotal swelling and a pulsatile mass of the left femoro-inguinal region. His medical history included hypertension, coronary artery disease, respiratory failure, and an aortobifemoral bypass surgery performed 7 years ago. Ultrasound evaluation revealed a massive scrotal hematoma. Computed tomography angiography (CTA) was conducted, confirming the aortobifemoral graft existence and revealing bilateral anastomotic pseudoaneurysms with the left one being ruptured, resulting in extension of the hematoma to the left femoro-inguinal region and the scrotum. An emergency surgery was performed, where proximal control of the left limb of the synthetic graft as well as distal control of the iliac vessels were accomplished. After the control of the hemorrhage, an iliofemoral bypass with a Polytetrafluoroethylene (PTFE) 6 mm synthetic graft was placed. Unfortunately, the patient passed away during the first postoperative day due to myocardial infarction.

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Section: Discussionmentioning

confidence: 99%

Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation

Smarda

Fagkrezos

Dodos

et al. 2019

Case Reports in Vascular Medicine

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“…Leakage becomes progressively encapsulated and shows a tendency to grow in a few months with possible rupture and consequent massive hemorrhage which is the most feared evolution [1,3,4,6,7]. …”

Section: Discussionmentioning

confidence: 99%

“…The development of the sac is due to a progressive, pulsatile blood leakage into the soft tissues around the damaged artery and has been related to various pathogenetic conditions such as the worsening of the underlying atherosclerotic pathology, breakdown of the anastomotic suture, arterial hypertension, local infections and inflammatory reactions with subsequent fragility of the host arterial wall close to the anastomosis. Leakage becomes progressively encapsulated and shows a tendency to grow in a few months with possible rupture and consequent massive hemorrhage which is the most feared evolution [ 1 , 3 , 4 , 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the complication may cause arteriovenous fistulas or distal embolization with clinical onset of critical limb ischemia. In case of a symptomatic APA, major reported signs and symptoms are abdominal pain, gastrointestinal hemorrhage, pulsatile abdominal mass and respiratory insufficiency [ 3 , 4 , 6 , 7 ]. At diagnosis, 8–40% of anastomotic pseudoaneurysms are ruptured, a condition whose reported mortality rate ranges from 61 to 67% [ 1 , 3 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

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Endovascular Repair of an Unusually Complex Anastomotic Pseudoaneurysm of an Aorto-Bisiliac Graft

et al. 2017

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SummaryBackgroundAnastomotic pseudoaneurysm is an underestimated complication of aorto-iliac grafts.Case ReportThis case report describes an unusual presentation of a pseudoaneurysm with a particularly complex anatomy involving both the left iliac branches, which hindered the interpretation of diagnostic studies and therapeutic management in a patient with multiple comorbidities.ConclusionsThe manuscript describes a successful management of such a complication by means of an elective endovascular approach.

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“…Iliac artery–inferior vena cava or iliac vein AVF, due to iliac anastomotic pseudoaneurysm, is a rare clinical complication after AAA open repair. 1 Contrast medium-enhanced MD-CT is the first-line imaging modality to confirm the diagnosis and to plan the possible repair procedure in a suspected iliac artery–inferior vena cava or iliac vein AVF. 2 AVF as complication of anastomotic pseudoaneurysm must be treated to prevent its possible rupture and cardiac decompensation due to left-to-right shunting.…”

mentioning

confidence: 99%

Right Iliac Artery—Inferior Vena Cava Arteriovenous Fistula

Rossi

Torcia²,

Rollandi

et al. 2018

Aorta

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Endovascular treatment for iliac artery pseudoaneurysm with arteriovenous fistula after abdominal aortic aneurysm open repair

Cited by 4 publications

References 6 publications

Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation

Massive Scrotal Hematoma due to Ruptured Anastomotic Pseudoaneurysm in a Patient with Aortobifemoral Bypass Surgery: CTA Evaluation

Endovascular Repair of an Unusually Complex Anastomotic Pseudoaneurysm of an Aorto-Bisiliac Graft

Right Iliac Artery—Inferior Vena Cava Arteriovenous Fistula

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