Iatrogenic Left Iliac–Caval Fistula: Imaging and Endovascular Treatment

Wang, Eric A.; Lee, Margaret H.; Wang, Matthew C.; Lee, Hsin-Yi

doi:10.2214/ajr.183.4.1831032

Cited by 17 publications

(16 citation statements)

References 6 publications

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“…35 Successful repair of abdominal AVF with EVAR has also been reported. [36][37][38] Open repair of CIAA includes the use of bifurcated or straight polyester grafts placed through a transperitoneal or retroperitoneal approach. Open repair can be challenging because of previous abdominal surgery or deep location of the aneurysm, especially in obese patients.…”

Section: Discussionmentioning

confidence: 99%

Common iliac artery aneurysm: Expansion rate and results of open surgical and endovascular repair

Huang

Gloviczki²,

Duncan³

et al. 2008

Journal of Vascular Surgery

191

149

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The expansion rate of CIAAs is 0.29 cm/y, and hypertension predicts faster expansion. Because no rupture of a CIAA <3.8 cm was observed, elective repair of asymptomatic patients with CIAA >or=3.5 cm seems justified. Although buttock claudication after EVAR remains a concern, results at 3 years support EVAR as a first-line treatment for most anatomically suitable patients who require CIAA repair. Patients with compressive symptoms or those with AVF should preferentially be treated with OR.

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Section: Discussionmentioning

confidence: 99%

Common iliac artery aneurysm: Expansion rate and results of open surgical and endovascular repair

Huang

Gloviczki²,

Duncan³

et al. 2008

Journal of Vascular Surgery

191

149

View full text Add to dashboard Cite

show abstract

“…In 1995, Zajko et al reported the first endovascular repair of a right common iliac artery to inferior vena cava fistula . More reports of endovascular repair have been added to the literature since then and most instances of such injuries have been diagnosed at least a month following surgery, with some remaining undiagnosed for many years . Such early presentations with cardiopulmonary symptoms and hemodynamic instability in iatrogenic iliac AVF have not been reported frequently in the literature.…”

Section: Discussionmentioning

confidence: 99%

Endovascular transluminal stent grafting

Rohit

Gupta

Khandelwal

2013

Cathet Cardio Intervent

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Iliac vessels are prone to injury during lumbar spine surgery due to their proximity to the lumbar spine. Arterio-venous fistula formation during lumbar spine surgery is an uncommon complication and can present as an asymptomatic incidental finding to rapidly deteriorating hemodynamics leading to cardiopulmonary collapse. We have reported three patients who had symptomatic iliac arterio-venous fistula detected soon after lumbar spine surgery. All these patients were successfully treated by endovascular transluminal stent grafting. © 2013 Wiley Periodicals, Inc.

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“…However, up to half of patients may not exhibit this classic presentation. 7 Careful history taking and physical examination are capable of identifying the presence of an AVF; however, additional imaging exams are required, both for confirmation and for localization and treatment planning. Imaging studies make it possible to assess the size of the AVF and its hemodynamic consequences and to determine its relationship with adjacent structures, which is indispensable for planning surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In view of this, the less invasive characteristics of endovascular treatment have gained ground and made it the treatment of choice in countless cases. 3,[5][6][7]10 Placement of endoprostheses within the arterial or venous systems, embolization or a combination of these approaches, 7 are some of the options available, in addition to thoracic endoprostheses and occluders device. 10,11 The preferred technique is the implantation of an endoprosthesis that effectively excludes the connection between artery and vein in large caliber vessels, closing off communication and maintaining vascular continuity.…”

Section: Discussionmentioning

confidence: 99%

Treatment of acquired arteriovenous fistula with severe hemodynamic effects: therapeutic challenge

et al. 2014

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A 34-year-old female patient with severe heart failure and pulmonary hypertension was diagnosed late with a highoutput acquired arteriovenous fistula between the right common iliac vein and artery. The most probable cause was an iatrogenic vascular injury inflicted during a prior laparoscopic cholecystectomy. Treatment was conducted by placement of an endoprosthesis in the common iliac artery, achieving total exclusion of the fistula and complete remission of symptoms. Considering the options available for treating this type of lesion, endovascular techniques are becoming ever more effective and are now the option of first-choice for management of this pathology.Keywords: arteriovenous fistula; endoprothesis; heart failure. ResumoPaciente de 34 anos com quadro de insuficiência cardíaca e hipertensão pulmonar severas, com diagnóstico tardio de fístula arteriovenosa adquirida de alto débito entre a veia e a artéria ilíaca comum direita. A provável causa foi relacionada à lesão vascular iatrogênica em colecistectomia laparoscópica realizada previamente. O tratamento foi realizado com endoprótese em artéria ilíaca comum, resultando em exclusão total da fístula e remissão completa dos sintomas. Considerando-se as opções de tratamento para esse tipo de lesão, a técnica endovascular tem se mostrado cada vez mais eficaz e tem se tornado a primeira opção no manejo dessa patologia.Palavras-chave: fístula arteriovenosa; endoprótese; insuficiência cardíaca.

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Iatrogenic Left Iliac–Caval Fistula: Imaging and Endovascular Treatment

Cited by 17 publications

References 6 publications

Common iliac artery aneurysm: Expansion rate and results of open surgical and endovascular repair

Common iliac artery aneurysm: Expansion rate and results of open surgical and endovascular repair

Endovascular transluminal stent grafting

Treatment of acquired arteriovenous fistula with severe hemodynamic effects: therapeutic challenge

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