Endovascular repair of a traumatic arteriovenous fistula involving the iliac bifurcation using an iliac branch device

Queiroz, André Brito; Mulatti, Grace Carvajal; Aun, Ricardo; Valentim, Luisa Assis; Puech-Leão, Pedro

doi:10.1016/j.jvs.2011.12.006

Cited by 11 publications

(9 citation statements)

References 12 publications

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“…Fistulae may not be diagnosed immediately and some patients present signs or symptoms years later. 3 In the case described here, the probable cause of AVF was an iatrogenic injury sustained during a laparoscopy procedure five years previously that was not diagnosed at that time. Penetrating traumas, including iatrogenic injuries, are responsible for 20% of AVF.…”

Section: Discussionmentioning

confidence: 82%

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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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Section: Discussionmentioning

confidence: 82%

“…8 Large collateral vessels with complex venous anatomy often involve significant blood loss. 3 Brewster et al 9 have reported an operative mortality rate for correction of iliac AVF of 5 to 10%. Davis et al 2 documented morbidity of 39% in surgical corrections of iliac AVF.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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“…Elevated venous pressure and surrounding tissue inflammation make the local area hostile for open surgical repair. Large collateral vessels with a complex venous anatomy are often encountered, increased risk for substantial blood loss and high morbidity and mortality [2]. Depending on the diameter of the vein, ligation can be used as also ligation-excision followed by complex reconstruction [4].…”

Section: Referencesmentioning

confidence: 99%

“…If the patient survives, these lesions often not be diagnosed on first evaluation and patients may present with clinical signs and symptoms years later. Open surgical repair can have prohibitive morbidity and mortality and endovascular techniques, an effective alternative, can interrupt the abnormal vascular communication and preserve artery vein patency [2]. We describe a unique case of iliac arteriovenous fistula (AVF), secondary to a bullet injury, identified by imaging studies and subsequently treated with endovascular intervention.…”

Section: Introductionmentioning

confidence: 99%

Endovascular Management of a Penetrating Zone III Retroperitoneal Gunshot Wound Injury; A Case Report

Biswas

Hristov

2017

BEAT

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Traumatic iliac vessels injuries secondary to gunshot wound can often be fatal at the scene. One of the intriguing complications of vascular injuries is arteriovenous fistula. If the patient survives, these lesions may often not be diagnosed on first evaluation and patients may present with clinical signs and symptoms years later. Open surgical repair can have prohibitive morbidity and mortality and endovascular techniques, an effective treatment alternative, can interrupt the abnormal vascular communication and preserve artery vein patency. We describe a unique case of iliac arteriovenous fistula (AVF), secondary to a bullet injury, identified by imaging studies and subsequently treated with endovascular surgery. In conclusion, traumatic AVF are rare. Traditional teaching mandates that zone III pelvic retroperitoneal hematomas secondary to penetrating trauma be explored.

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“…Distal pulses are usually palpable; however a large AV fistula may shunt away blood from the extremity, causing peripheral ischemia. [3] The Nicoladoni-Israel-Branham's sign may be also positive which means manual compression of the AV fistula causes reduced heart rate. [4] The treatment of acquired AV fistulas is primarily surgical.…”

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confidence: 99%

Endovascular treatment of a traumatic facial arteriovenous fistula with transcatheter embolization technique

Usta¹

2015

Turk Gogus Kalp Dama

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ÖZTravmatik arteriyovenöz (AV) fistüller genellikle penetran veya künt travmalar sonucu, nadiren de iyatrojenik nedenler ile oluşan vasküler lezyonlardır. Travmatik AV fistüllerin başlıca etyolojisini ateşli silah yaralanmaları, delici yaralanmalar veya komşu arter ve vene yakın kemik kırıkları oluşturur. Arteriyovenöz fistüllere yıllarca tanı konmayabilir ve travmadan uzun bir süre sonra cerrahi girişim gerekebilir. Travmatik AV fistül zamanında ve uygun şekilde tedavi edilmez ise, subakut ve kronik komplikasyonlara neden olabilir. Travmatik AV fistüller kronik dönemlerde nadiren karşılaşılan anevrizmatik dilatasyonlara neden olabilir. Bu yazıda, fasiyal AV anevrizmasına ilerleyen ihmal edilmiş travmatik AV fistülü olan ve transkateter embolizasyon tekniği kullanılarak başarılı bir şekilde endovasküler yolla tedavi edilen 33 yaşında bir erkek olgu sunuldu.Anah tar söz cük ler: Anevrizma; arteriyovenöz fistül; endovaskülar tedavi; transkateter embolizasyon. ABSTRACTTraumatic arteriovenous (AV) fistulas are the vascular lesions which usually develop due to penetrating or blunt injuries or rarely due to an iatrogenic cause. Gunshot wounds, penetrating injuries, or bone fractures which are located in an adjacent artery and vein constitute the major etiology of the traumatic AV fistulas. Arteriovenous fistulas may not be diagnosed for years and may require surgical intervention long after the injury. When a traumatic AV fistula is not treated immediately and appropriately, it may cause subacute and chronic complications. Traumatic AV fistulas may progress to rarely encountered aneurysmatic dilatations in chronic periods. In this article, we report a 33-year-old male case with a neglected traumatic AV fistula which progressed to a facial AV aneurysm and received endovascular treatment successfully using transcatheter embolization technique.

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Endovascular repair of a traumatic arteriovenous fistula involving the iliac bifurcation using an iliac branch device

Cited by 11 publications

References 12 publications

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

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

Endovascular Management of a Penetrating Zone III Retroperitoneal Gunshot Wound Injury; A Case Report

Endovascular treatment of a traumatic facial arteriovenous fistula with transcatheter embolization technique

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