Iatrogenic arteriovenous fistula of the iliac artery after lumbar discectomy surgery: a systematic review of the last 18 years

Yan, Gaowu; Li, Hongwei; Yang, Guoqing; Bhetuwal, Anup; Liu, Jianping; Yong, Li; Fu, Quanshui; Zhao, Linwei; Chen, Hong; Hu, Na; Wu, Lei; Yan, Jun; Wang, Wei; Shuang, Jiao-Yue; Ge, Jun

doi:10.21037/qims.2019.05.12

Cited by 18 publications

(12 citation statements)

References 68 publications

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“…The cause of AVFs formation in patients with IVL is unknown, and the association between AVF and IVL cannot be confirmed. Spontaneously developed pelvic vascular malformations are rare, and the most common causes include trauma, iatrogenic injury, aneurysm, and malignant tumor-related neovascularization ( 13 , 17 , 18 ). Vascular malformation induced by benign tumors, such as IVL, is seldom reported.…”

Section: Discussionmentioning

confidence: 99%

“…Because of the significant hemorrhage, surgical resection is often challenging. Although transcatheter embolization has recently become the treatment of choice for pelvic AVF, full embolization to stop the shunt flow is equally challenging ( 11 – 13 ). The link between leiomyomatosis and AVF has only been mentioned rarely in the medical literature.…”

Section: Introductionmentioning

confidence: 99%

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Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review

Kan

Cao

Chen

et al. 2022

Front. Cardiovasc. Med.

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BackgroundUterine intravenous leiomyomatosis (IVL), a rare type of uterine leiomyoma, is defined by the intravascular proliferation of a histologically benign smooth muscle cell tumor. Pelvic arteriovenous fistula (AVF) is a rare vascular malformation that is most commonly congenital, post-traumatic, or iatrogenic. The link between leiomyomatosis and AVF has received little attention in the medical literature.ResultsWe provide a case series of seven patients, four of whom were from our center, who had IVL complicated by a pelvic AVF. The symptoms of right heart failure were noted as swelling in the abdomen and two legs as well as a significant amount of ascites. Coil embolization of AVFs may be beneficial in minimizing bleeding during IVL surgery. A review of all accessible literature published on IVLs from 2000 to 2020 was conducted, and data were retrieved from 78 papers totaling 262 cases. Complications and recurrence were associated with pelvic mass excision and intravascular remnant tumor, respectively.ConclusionIntravenous leiomyomatosis combined with AVF aggravates congestion symptoms of surrounding organs. It is worth noting the uncommon combination of AVF and IVL, stressing the importance of a thorough assessment and surgical approach in IVL treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review

Kan

Cao

Chen

et al. 2022

Front. Cardiovasc. Med.

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“…Since then, endovascular stenting repair techniques have been increasingly applied to vascular injuries following lumbar spine surgery. However, almost all of them were applied in postoperative cases (e.g., AV fistula and pseudoaneurysm) [ 8 , 15 , 16 , 17 , 18 ] ( Table 2 ). This technique is rarely applied in vascular laceration due to a lack of availability of the related personnel and facilities in an emergent setting [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Successful Endovascular Surgery for Iatrogenic Common Iliac Artery Injury during Lumbar Spine Surgery: A Case Report

2022

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An 80-year-old man was admitted with an L5 compression fracture, L4/5 spondylolisthesis, and L5 radiculopathy and underwent a TLIF procedure. Refractory hypotension occurred, though it indicated a possible great vessel injury with vasopressor and fluid infusion. Emergent intraoperative angiography was performed, which showed extravasation at the right common iliac artery. Resuscitative endovascular balloon occlusion of the aorta followed by right common iliac artery stenting was successfully performed to arrest the bleeding. The iatrogenic right common iliac artery laceration was complicated with abdomen compartment syndrome and acute kidney injury. The patient received supportive care, including continuous venovenous hemofiltration (CVVH) for a week, after which the patient’s condition improved. The patient did not have any residual complications at the one-month follow-up. Great vessel injury during the TLIF procedure is rare but fatal. Refractory hypotension is indicative of a great vessel injury. Endovascular intervention is a fast and promising method to diagnose and treat arterial injury.

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“…Yan GW et al 2019, in his systematic review of 18 years' experience of Iatrogenic arteriovenous fistula of the iliac artery after lumbar discectomy surgery in 44 patients revealed that The time period between LDS and IAVF identification in his patients was less than 24 hours in 4 patients (9.1 percent). Other time factors were as follows: 24 hours to 1 week in 3 patients (6.8 percent), 1 week to 1 month in 9 patients (20.5 percent), 1 month to 1 year in 15 patients (34.1 percent), and more than 1 year in 13 patients (29.5 percent), while the longest time span between all patients is 17 years (2.3%) [17]. Our case report was detected and treated within 24 hours postoperatively.…”

Section: Anatomical Factors Affecting Iatrogenic Vascular Injuriesmentioning

confidence: 99%

“…Laparotomy intervention is another method of surgical repair of IAVF. In the series of Yan GW et al 2019 [17], traditional open surgeries were done in 4 patients (9.3%), and endovascular interventions were done in thirty-nine patients (90.7%).…”

Section: Types Of Interventions For Iavfmentioning

confidence: 99%

Case Report: Post Lumbar Discectomy Acute Iliac Arteriovenous Fistula; Endovascular Management and Literature Review

Khoudir¹,

Aweja²,

Katebi³

et al. 2020

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Posterior approach lumbar disc surgeries (LDS) can be associated with serious iatrogenic vascular complications which could be a serious life threatening condition. We report a rare case of right sided acute iliac vessels iatrogenic arteriovenous fistula (IAVF) which was diagnosed and managed in 24 hours duration in a 45 years old healthy female who underwent surgical posterior approach L4-5 discectomy. Intraoperative, she developed sudden hypotension, tachycardia, wide pulse pressure and acute drop of hemoglobin level without obvious operative site bleeding which raise the index of suspicion of vascular injury and urge the team for doing emergency CT angiography (CTA), vascular and endovascular team consultation for digital subtraction angiography (DSA) and endovascular management. Endovascular stenting is nowadays the modality of choice of intervention. We provide case report with literature review.

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Iatrogenic arteriovenous fistula of the iliac artery after lumbar discectomy surgery: a systematic review of the last 18 years

Cited by 18 publications

References 68 publications

Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review

Intravenous Leiomyomatosis Complicated by Arteriovenous Fistula: Case Series and Literature Review

Successful Endovascular Surgery for Iatrogenic Common Iliac Artery Injury during Lumbar Spine Surgery: A Case Report

Case Report: Post Lumbar Discectomy Acute Iliac Arteriovenous Fistula; Endovascular Management and Literature Review

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