Endovascular Treatment of a Large Iliac Vein Aneurysm and High-Flow Arteriovenous Fistula

DeWane, Michael P.; Quencer, Keith; Chaar, Cassius Iyad Ochoa

doi:10.1016/j.avsg.2018.04.008

Cited by 10 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Endovascular and hybrid managements of iliac vein aneurysms are reported in six cases in the literature review 3,26,39,43,44,48 (Table 6). AVF exclusion by arterial stent graft is the proposed method for iliac aneurysms resulting from traumatic AVFs.…”

Section: Management Of Iliac Vein Aneurysmsmentioning

confidence: 99%

See 1 more Smart Citation

Iliac vein aneurysms: a comprehensive review

Zarrintan

Tadayon

Kalantar-Motamedi

2019

J Cardiovasc Thorac Res

View full text Add to dashboard Cite

Introduction: Iliac vein aneurysm is a rare clinical entity. Iliac venous tract is the least commonlocation for venous aneurysms. There are a few cases of common, external and internal iliac veinaneurysms in the literature. However, undiagnosed and ruptured iliac venous aneurysms couldhave hazardous consequences. Herein, we reviewed all literature cases of iliac vein aneurysms.Their potential diagnostic and therapeutic challenges are discussed. Literature Review: Following a systematic search, 50 cases of iliac venous aneurysms wereidentified. We used MEDLINE [1900-March 2018] and EMBASE [until March 2018]. MeSHterms of iliac vein/veins/venous, hypogastric, inferior vena cava and aneurysm/aneurysms wereused. Fifty patients with venous aneurysms located in common, external or internal iliac veinswere found in our systematic search. Seventeen patients were female (35.4%) and 31 patients weremale (64.6%). The age range was 13 to 70 years of age. The aneurysm was located in right side in17 patients (34%). It was located in left side in 29 patients (58%) and it was bilateral in 4 patients(8%). The aneurysm was located in common, external and internal iliac veins in 15 (30%), 31(62%) and 4 (8%) patients respectively. The aneurysm was due to a previous arteriovenousfistula (AVF) in 19 patients (38%) and of them, 16 patients (32%) had a history of AVF resultingfrom a previous trauma. 29 patients (59.2%) underwent open surgical treatment. Five patients(10.2%) underwent endovascular treatment. One patient (2.0%) underwent hybrid treatment.Conservative treatment was used in 14 patients (28.6%). Conclusion: Iliac vein aneurysms are extremely rare. Its diagnosis necessitates precise clinicalsuspicion and the treatment is based on patients’ clinical scenario and radiological features. Bothopen and endovascular techniques could be feasible. Iliac vein aneurysms are more commonin men. Left sided aneurysms are more common. The most common anatomic location isexternal iliac vein. The most common cause of iliac aneurysms is dilatation of vein secondary toa traumatic AVF.

show abstract

Section: Management Of Iliac Vein Aneurysmsmentioning

confidence: 99%

“…Then, the size of aneurysm should be followed-up. 3,43 If open closure of AVF is considered, the venous aneurysm is then could be excluded by a venous graft. 39 Traumatic iliac vein pseudoaneurysms are managed by trans-catheter embolization.…”

Section: Management Of Iliac Vein Aneurysmsmentioning

confidence: 99%

Iliac vein aneurysms: a comprehensive review

Zarrintan

Tadayon

Kalantar-Motamedi

2019

J Cardiovasc Thorac Res

View full text Add to dashboard Cite

show abstract

“…Iliac arteriovenous fistulas (IAVFs) are uncommon entities defined as direct communications between iliac arteries and veins, which account for 0.4–1.4% of all the AVFs ( 1 , 2 ). IAVFs can be either congenital or secondary to trauma and surgery, with commonly progressive hemodynamic disturbances leading to high output cardiac insufficiency, leg swelling or ischemia, and aneurysm or vein aneurysm formation ( 3 – 5 ). The initial diagnosis of IAVFs is challenging because of the atypical symptoms and rarity of the presentations.…”

Section: Introductionmentioning

confidence: 99%

“…Open surgery was the first-line treatment for IAVFs in the past decades, but may bring about a high mortality and morbidity ( 6 ). With the development of interventional devices and techniques, successful applications of endovascular approaches on IAVFs have been reported ( 5 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

Clinical Features and Endovascular Management of Iliac Arteriovenous Fistulas: A 10-Year Single Center Experience

Liu

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

ObjectiveIliac arteriovenous fistulas (IAVFs) are rare abnormalities with limited reported cases. This study aimed to summarize the clinical features and experiences on the diagnosis and endovascular treatment of IAVFs.MethodsA single-center retrospective study of IAVFs from 2010 to 2019 was performed. Data including demographics, clinical characteristics, radiological images, surgical details, and follow-up were collected.ResultsA total of 16 patients diagnosed with IAVFs were identified. The female to male ratio was 3:1. The mean age was 47.7 ± 10.4 years (range: 35–73 years). Leg swelling and cardiac insufficiency, especially heart failure, were the most common primary symptoms in this series, which were revealed in 68.8 and 37.5% of patients, respectively. Iatrogenic, traumatic, and congenital IAVFs were diagnosed in 62.5, 12.5, and 25.0% of patients, respectively, among which hysterectomy was thought to be the main cause for female iatrogenic IAVFs (31.3%). Anatomic analysis found that internal iliac vessels were the predilected sites of IAVFs. All the patients were treated by endovascular procedures composed of transarterial embolization (50.0%), transarterial and stage II transvenous embolization (31.3%), stage I transarterial and transvenous embolization (12.5%), and transarterial embolization plus stent implantation (6.3%). The clinical success rate was 93.8%. Minor complications including fever (18.8%) and exudation at the puncture point (6.25%) were noted and well-treated. During a follow-up period of 51.3 ± 41.9 months after operations, only one patient experienced re-emergence of heart failure because of recurrence of leiomyosarcoma; other patients recovered uneventfully with symptoms relief and no severe embolization-related complications was encountered.ConclusionIAVFs are rare disorders and correct diagnosis requires careful history taking and physical examination, combined with proper imaging investigation. The primary goal for treatment of IAVFs was to relieve associated symptoms. Based on the results of this study, endovascular approach is safe and effective for treatment of IAVFs.

show abstract

“… 1 The most common etiology of a secondary iliac vein aneurysm is arteriovenous fistula. 2 Complications of iliac vein aneurysms include thromboembolism and rupture, which require prompt intervention. 3 Given the complication profile, intervention is generally recommended for iliac vein aneurysms.…”

mentioning

confidence: 99%