Abdominal Aortic Aneurysm with Aortocaval Fistula–Staged Endovascular Management

Dhillon, Baljeet; Morrow, Dustin; Lewis, Mark H.; Ali, Tariq

doi:10.1016/j.jvir.2019.02.005

Cited by 3 publications

(2 citation statements)

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“…Aortocaval and iliocaval fistulas are a rare complication of AIAA. They occur in 3-7% of ruptures 1,3,5,6,11,12 and iliocaval fistulas account for approximately 20% of cases. 13 Perioperative mortality is very high, with rates varying from 20-55% 8 to 67% depending on the series.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Occlusion of Iliocaval Confluence During Surgical Repair of Iliocaval Fistula due to Ruptured Abdominal Aortoiliac Aneurysm

Tenezaca-Sari

García

Gil-Sala

et al. 2022

Vasc Endovascular Surg

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We describe the successful use of endovascular occlusion of the iliocaval confluence to prevent excessive bleeding during open repair of an iliocaval arteriovenous fistula due to a ruptured abdominal aortoiliac aneurysm. A 70-year-old man was admitted with chest pain, hemodynamic instability, acute pulmonary edema, and bilateral leg swelling. Computed tomography angiography (CTA) showed a ruptured AAIA with a large primary iliocaval fistula. Aortobifemoral bypass with a Dacron bifurcated prosthetic graft was performed with catheter balloon occlusion of the iliocaval confluence to prevent massive bleeding. Follow-up CTA showed no complications. Iliocaval fistula is a rare complication of AAIA that requires emergent surgery. Endovascular occlusion of iliac or inferior cava vein can control bleeding.

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Section: Discussionmentioning

confidence: 99%

Endovascular Occlusion of Iliocaval Confluence During Surgical Repair of Iliocaval Fistula due to Ruptured Abdominal Aortoiliac Aneurysm

Tenezaca-Sari

García

Gil-Sala

et al. 2022

Vasc Endovascular Surg

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“…11 One case was secondary to a ruptured iliac aneurysm 12 and another secondary to tumor infiltration. 13 Six of 11 cases were ACFs, 5 were secondary to an AAA (2 ruptured), [14][15][16][17][18] and 1 was a delayed fistula secondary to a penetrating trauma. 19 None of the iliac fistulas developed ELs; 3 of 5 cases secondary to AAA had type II EL, with 2 of them undergoing reintervention.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Management of a Ruptured Iliac Aneurysm With an Inferior Vena Cava Fistula

Torrealba

Vargas

Mertens

et al. 2020

Vasc Endovascular Surg

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Aortocaval fistula is uncommon and often associated with a ruptured iliac or abdominal aortic aneurysm. It has a high mortality secondary to the aneurysmal rupture but also to a high output heart failure. Open surgery has been the standard; however, endovascular management has emerged with lower mortality. We present a patient with a ruptured iliac aneurysm and an inferior vena cava fistula successfully treated with an endograft with embolization of the right hypogastric artery. The patient arrested on induction and was resuscitated with aortic balloon inflation. Endovascular therapy can be safely used in the management of iliac/aortocaval fistula.

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Treatment of Aortocaval Fistula Secondary to Abdominal Aortic Aneurysm: A Systematic Review

Dakis

Nana

Kouvelos

et al. 2023

Annals of Vascular Surgery

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Abdominal Aortic Aneurysm with Aortocaval Fistula–Staged Endovascular Management

Cited by 3 publications

References 0 publications

Endovascular Occlusion of Iliocaval Confluence During Surgical Repair of Iliocaval Fistula due to Ruptured Abdominal Aortoiliac Aneurysm

Endovascular Occlusion of Iliocaval Confluence During Surgical Repair of Iliocaval Fistula due to Ruptured Abdominal Aortoiliac Aneurysm

Endovascular Management of a Ruptured Iliac Aneurysm With an Inferior Vena Cava Fistula

Treatment of Aortocaval Fistula Secondary to Abdominal Aortic Aneurysm: A Systematic Review

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