Venous Covered Stent: Successful Occlusion of a Symptomatic Internal Iliac Arteriovenous Fistula
- Department of Radiology, Jubilee Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX (United Kingdom)
- Department of Vascular Surgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX (United Kingdom)
We report the placement of a covered stent within the internal iliac vein (IIV) to occlude a symptomatic iatrogenic internal iliac arteriovenous fistula following an abdominal aortic graft. Angiography revealed a direct communication between an internal iliac graft to artery anastomosis and the right IIV with rapid shunting into the inferior vena cava and a small associated pseudoaneurysm. Femoral, brachial or axillary arterial access was precluded. The fistula was successfully occluded by a stent-graft placed in the IIV. Arteriovenous fistula can be treated in a number of ways including covered stent placement on the arterial side. To the best of our knowledge this is the first time placement in a vein has been described. Where access is difficult or the procedure carries a high risk of complication, avenous covered stent may offer an alternative.
- OSTI ID:
- 21083430
- Journal Information:
- Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 4 Vol. 25; ISSN 0174-1551; ISSN CAIRDG
- Country of Publication:
- United States
- Language:
- English
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