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Case Reports
Bifurcated endograft repair of ilio-iliac arteriovenous fistula secondary to lumbar diskectomy.
- Jose M Sarmiento, Paul J Wisniewski, Natalie T Do, Trung D Vo, Paul K Aka, Majid Tayyarah, and Jeffrey H Hsu.
- Division of Biomedical Sciences, University of California, Riverside, CA, USA.
- Ann Vasc Surg. 2010 May 1;24(4):551.e13-7.
AbstractIlio-iliac arteriovenous (AV) fistula is a rare complication after lumbar diskectomy. Endovascular repair of such fistulas is a growing trend in vascular surgery. This is a case report of an endovascular exclusion of an ilio-iliac AV fistula in a 51-year-old male. This man presented with high-output congestive heart failure and ascites. The AV fistula was discovered 17 years after a lumbar diskectomy. Computed topography (CT) revealed a right common iliac artery pseudoaneurysm connecting to the left common iliac vein. The fistula was repaired using a bifurcated Gore Excluder endograft. There were follow-up CT scans at 6 and 10 months confirming exclusion of the AV fistula. Endovascular AV fistula repair offers a safe, effective method for managing ilio-iliac AV fistulas.Copyright 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
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