Twin Pregnancy following Endoluminal Exclusion of an Iliac Arteriovenous Fistula

2002 ◽  
Vol 9 (5) ◽  
pp. 699-702 ◽  
Author(s):  
Mauro Frego ◽  
Dimitrios Kontothanassis ◽  
Diego Miotto ◽  
Matteo Chiesura-Corona ◽  
Fabio Verlato

Purpose: To demonstrate the sustained efficacy of stent-graft exclusion of a pelvic arteriovenous fistula (AVF) in a woman who became pregnant after treatment. Case Report: An iatrogenic iliac arteriovenous fistula caused by redo surgery for a herniated disk in a 23-year-old woman was successfully treated with percutaneous endoluminal exclusion. Intravascular ultrasound was particularly useful for localization of the fistula during the procedure. The patient subsequently became pregnant, and serial Doppler studies were used to monitor the stent-graft until the uneventful delivery of twins by Caesarian section. At 36 months after endograft implantation, the patient has no complaints relative to the device. Conclusions: Uncomplicated twin pregnancy following stent-graft repair of an AVF in the pelvis appears feasible.

2002 ◽  
Vol 9 (3) ◽  
pp. 375-378 ◽  
Author(s):  
Ignace F.J. Tielliu ◽  
Eric L.G. Verhoeven ◽  
Ted R. Prins ◽  
Marc van Det ◽  
Jan J.A.M. van den Dungen

Purpose: To describe the successful endovascular treatment of a popliteal arteriovenous fistula with a stent-graft. Case Report: A 54-year-old man was referred to our hospital with a distal popliteal arteriovenous fistula following an arthroscopic meniscectomy 6 years earlier. Three surgical attempts to close the fistula were undertaken, but the fistula recurred. He now presented with symptoms of progressive venous hypertension with claudication, swelling of the leg, and ulceration at the ankle. The fistula was closed with a stent-graft deployed percutaneously. At 18 months, the patient is doing well; duplex evaluation has documented the patency of the popliteal artery and the stent-graft. Conclusions: Endovascular treatment of a popliteal arteriovenous fistula is an alternative to open surgical reconstruction. In this situation, after multiple failed surgical closures and in a leg with extensive venous hypertension, it may be the best treatment option.


2005 ◽  
Vol 52 (2) ◽  
pp. 107
Author(s):  
Jeong Yeol Choi ◽  
Dong Hyun Kim ◽  
Hyung Woo Oh ◽  
Jeong Hwan Jang ◽  
Jae Hee Oh ◽  
...  

2009 ◽  
Vol 16 (4) ◽  
pp. 514-523 ◽  
Author(s):  
George A. Antoniou ◽  
Stylianos Koutsias ◽  
Christos Karathanos ◽  
Giorgos S. Sfyroeras ◽  
Georgios Vretzakis ◽  
...  

2001 ◽  
Vol 8 (3) ◽  
pp. 303-307 ◽  
Author(s):  
Dierk Scheinert ◽  
Josef Ludwig ◽  
Malte Schröder ◽  
Sven Bräunlich ◽  
Joern O. Balzer ◽  
...  

Purpose: To present a patient who developed an asymptomatic large iliac pseudoaneurysm complicating stent-supported iliac artery recanalization. Case Report: The pseudoaneurysm was detected in an asymptomatic 69-year-old man during routine angiography 6 months after an uncomplicated procedure to implant 3 overlapping Palmaz stents in an occluded external iliac artery. There was no evidence of stent infection. During a second intervention, the pseudoaneurysm was successfully treated by percutaneous implantation of an EndoPro System I stent-graft. Contrast-enhanced spiral computed tomography at 6 and 12 months confirmed the durability of aneurysm exclusion and the patency of the endoprosthesis. Conclusions: Angioplasty-induced pseudoaneurysm is rare and usually asymptomatic, but elective percutaneous stent-graft repair should be considered as the first treatment option.


2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Toshinori Komatsu ◽  
Tamaki Takano ◽  
Hiromu Kehara ◽  
Megumi Fuke ◽  
Takamitsu Terasaki ◽  
...  

2003 ◽  
Vol 10 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Ralf Surber ◽  
Gerald S. Werner ◽  
Tina U. Cohnert ◽  
Thorsten Wahlers ◽  
Hans R. Figulla

Purpose: To describe successful endovascular repair of a recurrent vertebral arteriovenous fistula (AVF) after surgical correction. Case Report: A 42-year-old woman presented with recurrent dizziness, nausea, and headaches. A loud bruit in the right neck was present. Central venous catheter insertion had been done 1 year previously, creating an angiographically documented right-sided vertebral AVF that was successfully excluded by a surgical procedure. Four weeks later, the AVF reappeared. Successful endovascular repair with a self-expanding stent-graft was performed. Follow-up over 12 months was uneventful, with a patent vertebral artery and no recurrence of symptoms. Conclusions: Endovascular stent-graft repair is feasible and offers a therapeutic alternative in the treatment of vertebral AVF, in particular for recurrence after initial surgery. This minimally invasive method may become the treatment of choice in the management of such lesions, preserving patency of the vertebral artery.


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