Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula

Thompson, P. T.; Ullery, Brant W.; Fleischmann, Dominik; Chandra, Venita

doi:10.1177/1538574415602781

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…Venous dilation is likely to increase inflow from the arterial portion of the AVFs, leading to venous hypertension that causes weakening and subsequent stretching of the vein wall. 2 …”

Section: Discussionmentioning

confidence: 99%

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Iliac May-Thurner syndrome coexisting with arteriovenous fistula treated by endovascular therapy

Yuki

Shimada

Tanaka

et al. 2020

SAGE Open Medical Case Reports

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An 82-year-old woman presented with persistent left leg swelling despite 3 months anticoagulation for deep vein thrombosis. Ultrasound showed venous blood flowing back into the toe. Enhanced computed tomography scans and angiography showed occlusion of the left common iliac vein and a large number of arteriovenous fistulas. We made a diagnosis of May-Thurner syndrome coexisting with arteriovenous fistulas and we performed endovascular therapy only for the common iliac vein. We considered embolization for arteriovenous fistulas, but it seemed to be difficult to perform because of the possibility of development of collateral circulation and a large number of arteriovenous fistulas. After percutaneous balloon angioplasty, antegrade venous blood flow was restored, and stent implantation was not performed. After the procedure, swelling of the leg gradually reduced. She had no symptoms for the following 1 year.

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“…Venous dilation is likely to increase inflow from the arterial portion of the AVFs, leading to venous hypertension that causes weakening and subsequent stretching of the vein wall. 2 …”

Section: Discussionmentioning

confidence: 99%

“… 1 An iliac arteriovenous fistula (AVF) is also a rare condition, mostly caused by traumatic, congenital, or iatrogenic origin. 2 There have been some reports about favorable outcomes of MTS treated by endovascular therapy; however, MTS coexisting with iliac AVFs is rare, and appropriate treatment has not been established.…”

Section: Introductionmentioning

confidence: 99%

Iliac May-Thurner syndrome coexisting with arteriovenous fistula treated by endovascular therapy

Yuki

Shimada

Tanaka

et al. 2020

SAGE Open Medical Case Reports

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“…Traumatic arteriovenous fistulae can be repaired by open or endovascular approaches [ 5 , 6 ]. This patient's fistula was best managed with an endovascular approach but there were limitations given the proximal and distal landing zones were significantly different in size.…”

Section: Discussionmentioning

confidence: 99%

A Case of Superficial Femoral Arteriovenous Fistula and Severe Venous Stasis Ulceration, Managed with an Iliac Extender Prosthesis

Ilonzo

Goss

Yang

et al. 2017

Case Reports in Vascular Medicine

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Most femoral artery arteriovenous fistulas occur as a result of percutaneous interventions. However, arteriovenous fistulas can occur in the setting of trauma, with resultant consequences such as heart failure, steal syndrome, or venous insufficiency. Indications for endovascular repair in this setting are limited to patients who are at too high risk for anesthesia, have a hostile groin, or would not survive significant bleeding. We report the case of a traumatic femoral arteriovenous fistula, causing severe venous insufficiency and arteriomegaly, in a 58-year-old male, with history of traumatic gunshot wound complicated by popliteal DVT. Surgical options for arteriovenous fistula include open and endovascular repair but this patient's fistula was more suitable for endovascular repair for reasons that will be discussed.

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“…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%

“…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

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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.

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Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula

Cited by 8 publications

References 8 publications

Iliac May-Thurner syndrome coexisting with arteriovenous fistula treated by endovascular therapy

Iliac May-Thurner syndrome coexisting with arteriovenous fistula treated by endovascular therapy

A Case of Superficial Femoral Arteriovenous Fistula and Severe Venous Stasis Ulceration, Managed with an Iliac Extender Prosthesis

Iliac vein aneurysms: a comprehensive review

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