Venous Covered Stent: Successful Occlusion of a Symptomatic Internal Iliac Arteriovenous Fistula

Journal Article · Thu Aug 15 04:00:00 EDT 2002 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-001-0116-5· OSTI ID:21083430

Cronin, P; McPherson, S; Meaney, J F ^[1]; Mavor, A ^[2]

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1. Department of Radiology, Jubilee Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX (United Kingdom)
2. 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

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BLOOD VESSELS
GRAFTS
HAZARDS
SURGERY
VASCULAR DISEASES
VEINS