Lethal Hemorrhage Caused by Aortoenteric Fistula Following Endovascular Stent Implantation
- Department of General Surgery, University of Kiel, D-24105 Kiel (Germany)
- Department for Diagnostic Radiology, University of Kiel, D-24105 Kiel (Germany)
A 55-year-old women developed an aortointestinal fistula between the bifurcation of the aorta and the distal ileum following implantation of multiple endovascular stents into both common iliac arteries for treatment of aortoiliac occlusive disease. Ten months before the acute onset of the gastrointestinal hemorrhage two balloon-expandable steel stents had been implanted into both common iliac arteries. Due to restenosis and recurrent intermittent claudication, three balloon-expandable covered stents were implanted 4 months later on reintervention. The patient presented with abdominal pain and melena, and fell into hemorrhagic shock with signs of upper gastrointestinal bleeding. After transfer to our hospital, she again developed hemorrhagic shock with massive upper and lower gastrointestinal bleeding and died during emergency laparotomy. The development of aortoenteric fistulas following endovascular surgery/stent implantation is very rare and has to be considered in cases of acute gastrointestinal hemorrhage.
- OSTI ID:
- 21083441
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 25, Issue 3; Other Information: DOI: 10.1007/s00270-001-0086-7; Copyright (c) 2002 Springer-Verlag New York, Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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