Endovascular exclusion of iliac artery to iliac vein fistula after lumbar disk surgery

Iliac arteriovenous (AV) fistula is rare after lumbar disk surgery. Traditionally, open repair through the arterial lumen was performed. We report endovascular exclusion of an iliac AV fistula in a 41-year-old woman 8 years after lumbar diskectomy. An angiogram showed an AV fistula connecting the ri...

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Bibliographic Details
Published in:Journal of vascular surgery 2003-05, Vol.37 (5), p.1091-1093
Main Authors: Hart, J.P., Wallis, F., Kenny, B., O'Sullivan, B., Burke, P.E., Grace, P.A.
Format: Article
Language:English
Subjects:
Adult
Arteriovenous Shunt, Surgical - adverse effects
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Diskectomy
Female
Humans
Iliac Artery - surgery
Iliac Vein - surgery
Intervertebral Disc - surgery
Lumbar Vertebrae - surgery
Medical sciences
Reoperation
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Description
Summary:Iliac arteriovenous (AV) fistula is rare after lumbar disk surgery. Traditionally, open repair through the arterial lumen was performed. We report endovascular exclusion of an iliac AV fistula in a 41-year-old woman 8 years after lumbar diskectomy. An angiogram showed an AV fistula connecting the right common iliac artery and vein. This was repaired with placement of two covered wall stents in the right common artery and external iliac artery, and embolization of the right internal iliac artery. Contrast medium-enhanced computed tomography scan at 5 months confirmed elimination of the AV fistula and right iliac artery patency. This technique should be considered in management of iliac AV fistulas. (J Vasc Surg 2003;37:1091-3.)
ISSN:0741-5214
1097-6809
DOI:10.1067/mva.2003.180