Deep vein thrombosis in lower extremities of an exceptional cause: Isolated internal iliac artery aneurysm and ilio-iliac arteriovenous fistula

Fernández, M. J. Núñez; Castro, Ana María Noya; León, Karla Elisabeth Moncayo; Galiñanes, Miguel Sineiro; Rodríguez, Raquel Altamirano

doi:10.1177/1358863x20907689

Cited by 4 publications

(4 citation statements)

References 3 publications

(3 reference statements)

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“…6,7,15 Moreover, previous authors have demonstrated that the risk of PE can be significantly decreased by IVC filter. 6,17 Unfortunately, the diameter of IVC of this patient is more than 30 mm for venous hypertension, and no appropriate IVC filter is available.…”

Section: Discussionmentioning

confidence: 97%

“…Nevertheless, the risk of clinically significant embolization in AVF was relatively low according to current evidence. 6,17 After exclusion of fistula, the blood flow in venous system would be slower, which could decrease the embolization risk. Some authors reported that the venous stent-graft can prevent PE caused by mural thrombus in aneurysm.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular treatment of an ilio-iliac arteriovenous fistula accompanied by venous thromboembolism presenting with multiple organ failure – A case report and literature review

2021

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Objectives Multiple organ failure is a rare manifestation of ilio-iliac arteriovenous fistula which can lead to a high rate of misdiagnosis and death. Methods We reported a 61-year-old man presenting with multiple organ failure rapidly after right lower limb swelling. Computed tomography angiography showed an ilio-iliac arteriovenous fistula caused by right common iliac artery aneurysm, and venous thrombosis of bilateral common iliac veins. A bifurcated stent-graft with coil embolization of right internal iliac artery was used for repair. Results The patient recovered rapidly and was discharged without complications. Although arteriovenous fistula persisted due to type II endoleak, aneurysm sac and inferior vena cava significantly shrunk at six months follow-up. Conclusions This report demonstrated that multiple organ failure may appear when the distal outflow tracts of arteriovenous fistula are obstructed. Moreover, endovascular repair is effective for reversal of multiple organ failure caused by arteriovenous fistula, even if arteriovenous fistula persists due to type II endoleak.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of an ilio-iliac arteriovenous fistula accompanied by venous thromboembolism presenting with multiple organ failure – A case report and literature review

2021

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“…A common clinical presentation is recurrent urinary tract infections due to ureteric compression which can lead to hydronephrosis. Deep vein thrombosis and arteriovenous fistulae have also been described [ 10 , 11 , 15 ]. In a study by Laine et al [ 6 ], the mean diameter of ruptured IIIAA was 6.8 cm, 4.4 times (range, 0.7–11.4 times) the diameter of the contralateral IIA.…”

Section: Discussionmentioning

confidence: 99%

Complicated left isolated internal iliac artery aneurysm (IIIAA) in a young man - An unusual presentation in a Tertiary Hospital in Ghana: Case report

Wu,

Dei-Asamoa,

Ohene-Botwe

2024

Heliyon

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“…The occurrence of DVT in patients with CIA aneurysms results mainly due to chronic compression of the iliac veins between the overlying CIA and the adjacent structures. The condition is rare, and few cases have been previously reported [ 9 , 10 , 11 ]. The pressure phenomenon usually results in ipsilateral or contralateral DVT, which are probably due to chronic venous stasis and/or endothelial damage because of the repeatable pulsatile force of the CIA aneurysm as an analogue to the May Thurner syndrome [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Deep Vein Thrombosis and Pulmonary Embolism Due to Right Common Iliac Artery Aneurysm with a Contained Rupture

et al. 2022

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Venous thromboembolism (comprising deep venous thrombosis and/or pulmonary embolism) is a common disease, often of multifactorial cause. Focal iliac artery aneurysms are relatively rare, and only a few reports exist in the literature describing patients with venous thromboembolism resulting from venous floe disruption due to iliac artery aneurysm. Thus, we report a case of a 65-year-old male presenting with pulmonary embolism and bilateral deep vein thrombosis associated with a contained rupture of the right common iliac artery aneurysm.

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Deep vein thrombosis in lower extremities of an exceptional cause: Isolated internal iliac artery aneurysm and ilio-iliac arteriovenous fistula

Cited by 4 publications

References 3 publications

Endovascular treatment of an ilio-iliac arteriovenous fistula accompanied by venous thromboembolism presenting with multiple organ failure – A case report and literature review

Endovascular treatment of an ilio-iliac arteriovenous fistula accompanied by venous thromboembolism presenting with multiple organ failure – A case report and literature review

Complicated left isolated internal iliac artery aneurysm (IIIAA) in a young man - An unusual presentation in a Tertiary Hospital in Ghana: Case report

Bilateral Deep Vein Thrombosis and Pulmonary Embolism Due to Right Common Iliac Artery Aneurysm with a Contained Rupture

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