Two cases of arteriovenous fistula formation between the external iliac vessels following endovenous laser therapy

Vascular ◽  
2014 ◽  
Vol 22 (6) ◽  
pp. 464-467 ◽  
Author(s):  
MD Wheatcroft ◽  
TF Lindsay ◽  
A Lossing
Keyword(s):  
Minimally Invasive ◽  
Laser Therapy ◽  
Iliac Artery ◽  
Varicose Veins ◽  
Rare Complication ◽  
External Iliac Artery ◽  
Fistula Formation ◽  
Invasive Treatment ◽  
Arteriovenous Fistulas ◽  
Endovenous Laser Therapy

Minimally invasive treatment of varicose veins is becoming increasingly popular with both patients and physicians. Endovenous laser therapy has been shown to be safe and effective but the rare complication of iatrogenic creation of arteriovenous fistulas has been described. One case of fistulation between the external iliac artery and vein has been published. We report two further cases and describe their management.

Treatment of an Unusual Complication of Endovenous Laser Therapy: Multiple Small Arteriovenous Fistulas Causing Complete Recanalization

2008 ◽  
Vol 32 (1) ◽  
pp. 166-168 ◽  
Author(s):  
Erkan Yildirim ◽  
Tonguc Saba ◽  
Mehmet Ozulku ◽  
Ali Harman ◽  
Cuneyt Aytekin ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Unusual Complication ◽  
Arteriovenous Fistulas ◽  
Endovenous Laser Therapy

Endovascular Management of External Iliac Blowout Syndrome Secondary to Recurrent Sigmoid Cancer

2019 ◽  
Vol 53 (6) ◽  
pp. 512-514
Author(s):  
Hassan Abdelsalam ◽  
Ali H. Elmokadem
Keyword(s):  
Minimally Invasive ◽  
Iliac Artery ◽  
Late Stage ◽  
Vascular Invasion ◽  
External Iliac Artery ◽  
High Morbidity ◽  
Endovascular Management ◽  
Life Saving ◽  
Bleeding Per Rectum ◽  
Sigmoid Cancer

Blowout syndrome caused by vascular invasion is a dreadful complication of late stage malignancies that carry high morbidity and poor overall prognosis in a compromised population. Endovascular management can offer minimally invasive and life-saving alternative for such acute conditions. We describe the case of a 62-year-old man with massive fresh bleeding per rectum and shock resulting from rupture of the left external iliac artery secondary to nearby infiltrative recurrent sigmoid cancer. This complication is rare, presents dramatically, and is frequently fatal. The patient was successfully treated with a stent graft deployment in order to achieve hemostasis and reinstituting the arterial integrity.

CHIVA, ASVAL and related techniques – Concepts and evidence

2015 ◽  
Vol 30 (2_suppl) ◽  
pp. 42-45 ◽  
Author(s):  
Sarah Onida ◽  
Alun H Davies
Keyword(s):  
Minimally Invasive ◽  
Varicose Veins ◽  
Disease Process ◽  
Chronic Venous Disease ◽  
Treatment Modalities ◽  
Venous Disease ◽  
Invasive Treatment ◽  
Venous Circulation ◽  
Underlying Pathophysiology

Chronic venous disease (CVD) is a highly prevalent condition with significant effects on patients’ quality of life. Despite this, the underlying pathophysiology of venous disease still remains unclear. Two schools of thought exist, explaining the development and propagation of venous disease as an “ascending” and “descending” process, respectively. The descending theory, stating that CVD is secondary to proximal disease (e.g. saphenofemoral/saphenous incompetence), is the most widely accepted when planning treatment aiming to remove or destroy the junction or truncal veins. The ascending theory, describing the disease process as developing in the lower most part of the leg and propagating cranially, aims to re-route the venous circulation via minimally invasive interventions. Classically, superficial venous insufficiency has been treated with the removal of the incompetent trunk, via open surgery or, increasingly, with endovenous interventions. Minimally invasive treatment modalities aiming to preserve the saphenous trunk, such as CHIVA and ASVAL, may also play an important role in the treatment of the patient with varicose veins.

Iliofemoral Venous Thrombosis Caused by Compression of an Internal Iliac Artery Aneurysm: A Minimally Invasive Treatment

1998 ◽  
Vol 5 (2) ◽  
pp. 142-145 ◽  
Author(s):  
David Rosenthal ◽  
John H. Matsuura ◽  
Hilde Jerius ◽  
Michael D. Clark
Keyword(s):  
Minimally Invasive ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Aneurysm ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Iliac Artery Aneurysm ◽  
Venous Thrombectomy ◽  
Internal Iliac Artery Aneurysm ◽  
Internal Iliac

Purpose: To report the success of a minimally invasive treatment for phlegmasia cerulea dolens without gangrene caused by compression from an internal iliac artery aneurysm. Methods and Results: An 81-year-old male with a 1-month history of paralysis owing to a hemorrhagic stroke presented with massive edema and skin mottling of the right lower extremity. Imaging confirmed right iliofemoral deep vein thrombosis caused by compression from a 4-cm internal iliac artery aneurysm. With thrombolysis ruled out, a minimally invasive treatment plan was undertaken, featuring percutaneous coil embolization of the aneurysm and surgical venous thrombectomy with proximal arteriovenous fistula creation and iliac vein stent placement. Failure of the coils to embolize the iliac aneurysm prompted the use of an endovascular graft to exclude the aneurysm. The patient's symptoms subsided, and he has a patent right iliofemoral venous system and internal iliac artery at his latest (16-month) follow-up. Conclusions: This case demonstrates that minimally invasive endovascular and open techniques can be combined to achieve an optimum outcome in patients at high risk for standard surgical approaches.

The minimally invasive treatment of primary varicose veins

Flebologiia ◽  
2015 ◽  
Vol 8 (1) ◽  
pp. 30
Author(s):  
A. A. Kul’chiev ◽  
S. V. Tigiev ◽  
A. A. Morozov ◽  
A. M. Karsanov
Keyword(s):  
Minimally Invasive ◽  
Varicose Veins ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Primary Varicose Veins

Occlusion of the External Iliac Artery—A Rare Complication of Long-Distance Running: Case Report

1993 ◽  
Vol 27 (5) ◽  
pp. 400-403
Author(s):  
Claus Bartels ◽  
Helmut Nigbur ◽  
Luc Claeys ◽  
Svante Horsch
Keyword(s):  
Case Report ◽  
Iliac Artery ◽  
Rare Complication ◽  
External Iliac Artery ◽  
Distance Running ◽  
Long Distance ◽  
Long Distance Running

scholarly journals Endovenous laser therapy (EVLT) in the treatment of short saphenous (SSV) varicose veins (VVS) – Long term follow up

2016 ◽  
Vol 36 ◽  
pp. S132
Author(s):  
J. Lewis ◽  
A. Sheel ◽  
J. Murray ◽  
S. Grahamslaw ◽  
K. Hawkins ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Varicose Veins ◽  
Endovenous Laser Therapy ◽  
Long Term Follow Up
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