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Title: Ileocolic Arteriovenous Fistula with Superior Mesenteric Vein Aneurism: Endovascular Treatment

Abstract

We report a case of a venous aneurysm secondary to an acquired ileocolic arteriovenous fistula in a 64-year-old woman with recurrent abdominal pain and history of appendectomy. The aneurysm was diagnosed by ultrasound and computed tomography. Angiography showed an arteriovenous fistula between ileocolic branches of the superior mesenteric artery and vein. This vascular abnormality was successfully treated with coil embolization.

Authors:
; ;  [1]; ; ;  [2]
  1. Interventional Radiology, Clinico Universitario Lozano Blesa (Spain)
  2. Interventional Radiology, State University Health Sciences Center (United States)
Publication Date:
OSTI Identifier:
21088235
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 27; Journal Issue: 5; Other Information: DOI: 10.1007/s00270-003-4102-y; Copyright (c) 2004 Springer-Verlag; Article Copyright (c) 2004 Springer-Verlag New York, Inc; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; COMPUTERIZED TOMOGRAPHY; PAIN; VEINS

Citation Formats

Gregorio, Miguel Angel de, Gimeno, Maria Jose, Medrano, Joaquin, Schoenholz, Caudio, Rodriguez, Juan, and D'Agostino, Horacio. Ileocolic Arteriovenous Fistula with Superior Mesenteric Vein Aneurism: Endovascular Treatment. United States: N. p., 2004. Web. doi:10.1007/S00270-003-4102-Y.
Gregorio, Miguel Angel de, Gimeno, Maria Jose, Medrano, Joaquin, Schoenholz, Caudio, Rodriguez, Juan, & D'Agostino, Horacio. Ileocolic Arteriovenous Fistula with Superior Mesenteric Vein Aneurism: Endovascular Treatment. United States. doi:10.1007/S00270-003-4102-Y.
Gregorio, Miguel Angel de, Gimeno, Maria Jose, Medrano, Joaquin, Schoenholz, Caudio, Rodriguez, Juan, and D'Agostino, Horacio. 2004. "Ileocolic Arteriovenous Fistula with Superior Mesenteric Vein Aneurism: Endovascular Treatment". United States. doi:10.1007/S00270-003-4102-Y.
@article{osti_21088235,
title = {Ileocolic Arteriovenous Fistula with Superior Mesenteric Vein Aneurism: Endovascular Treatment},
author = {Gregorio, Miguel Angel de and Gimeno, Maria Jose and Medrano, Joaquin and Schoenholz, Caudio and Rodriguez, Juan and D'Agostino, Horacio},
abstractNote = {We report a case of a venous aneurysm secondary to an acquired ileocolic arteriovenous fistula in a 64-year-old woman with recurrent abdominal pain and history of appendectomy. The aneurysm was diagnosed by ultrasound and computed tomography. Angiography showed an arteriovenous fistula between ileocolic branches of the superior mesenteric artery and vein. This vascular abnormality was successfully treated with coil embolization.},
doi = {10.1007/S00270-003-4102-Y},
journal = {Cardiovascular and Interventional Radiology},
number = 5,
volume = 27,
place = {United States},
year = 2004,
month = 9
}
  • Arteriovenous fistulae (AVF) of the superior mesenteric artery and its branches are exceedingly rare. We report an unusual case of a patient who was found to be symptomatic from such an AVF, with diarrhea and terminal ileal thickening. We describe the findings from magnetic resonance imaging, computed tomography and catheter angiography and discuss the endovascular management.
  • The uncommon presentation of an arterioportal fistula (APF) involving the superior mesenteric artery (SMA) associated with a pseudoaneurysm represents a therapeutic challenge. We present the case of a 24-year-old female admitted to the hospital after multiple gunshot wounds to the abdomen; the patient underwent multiple surgeries and, in the process, developed a SMA pseudoaneurysm and fistula. The vascular interventional radiology team was consulted for treatment of the pseudoaneurysm and fistula. A covered stent was inserted percutaneously to exclude the APF and the pseudoaneurysm in a single procedure. The patient returned to our service after 21 months for a follow-up CTmore » scan, which demonstrated the stent and the distal vasculature to be patent.« less
  • We report a case of an iatrogenic femoral arteriovenous fistula (AVF) in a 67-year-old man presenting with right femoral bruit on the day after sheath removal for cardiac catheterization. This was successfully treated with embolization using N-butyl-cynoacrylate (NBCA) through a coaxial microcatheter. Transcatheter embolization of iatrogenic femoral AVFs with NBCA in selected cases may be a safe and effective treatment in the presence of long fistula tracts. It is then easy to perform in experienced hands and relatively inexpensive.
  • No abstract prepared.
  • A patient was admitted because of severe abdominal pain, anorexia, and intestinal bleeding. Contrast-enhanced multidetector computed tomography demonstrated acute portal and superior mesenteric vein thrombosis (PSMVT). The patient was treated percutaneously with transjugular intrahepatic portosystemic shunt (TIPS), mechanical aspiration thrombectomy, and direct thrombolysis, and 1 week after the procedure, complete patency of the portal and superior mesenteric veins was demonstrated. TIPS, mechanical aspiration thrombectomy, and direct thrombolysis together are promising endovascular techniques for the treatment of symptomatic acute PSMVT.