scholarly journals Treatment of acquired arteriovenous fistula with severe hemodynamic effects: therapeutic challenge

2014 ◽  
Vol 13 (1) ◽  
pp. 34-38 ◽  
Author(s):  
Bruna Ferreira Pilan ◽  
Andréia Marques de Oliveira ◽  
Daniel Emílio Dalledone Siqueira ◽  
Ana Terezinha Guillaumon
Keyword(s):  
Arteriovenous Fistula ◽  
Common Iliac Artery ◽  
Severe Heart Failure ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
First Choice ◽  
Iatrogenic Vascular Injury ◽  
The Common ◽  
The Right ◽  
High Output

A 34-year-old female patient with severe heart failure and pulmonary hypertension was diagnosed late with a high-output acquired arteriovenous fistula between the right common iliac vein and artery. The most probable cause was an iatrogenic vascular injury inflicted during a prior laparoscopic cholecystectomy. Treatment was conducted by placement of an endoprosthesis in the common iliac artery, achieving total exclusion of the fistula and complete remission of symptoms. Considering the options available for treating this type of lesion, endovascular techniques are becoming ever more effective and are now the option of first-choice for management of this pathology.

scholarly journals Considerations on the caliber of the internal iliac vein

2015 ◽  
Vol 21 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Oana Popa ◽  
P. Bordei ◽  
C. Ionescu ◽  
D.M. Iliescu
Keyword(s):  
Iliac Vein ◽  
Statistical Distribution ◽  
Common Iliac Vein ◽  
Internal Iliac Vein ◽  
Distribution Of Values ◽  
Internal Iliac ◽  
The Common ◽  
The Right

Abstract The diameter at the origin of the internal iliac vein was found between 4.7 to 9.9 mm; for the right internal iliac vein between 4.7 to 9.7 mm; the statistical distribution groups value in ascending order being as follows: 4.7 to 5.5 mm: 4 cases (22.22% of cases); 6.9 to 7.8 mm: 6 cases (33.33% of cases); 8.4-8.8 mm: 4 cases (22.22% of cases); 9.1 to 9.7 mm: 4 cases (22.22% of cases). The diameter at the origin of the left internal iliac vein was between 4.8 to 9.9 mm, while the distribution statistics on groups of values, in ascending order, being as follows: 4.8-5.2 mm: 4 cases (22.22 % of cases); 6.8-7.1 mm: 8 cases (44.44% of cases); 8.3 to 9.9 mm: 6 cases (33.33% of cases). The diameter at the end of the internal iliac vein was between 5.9 to 10.2 mm; the diameter at the end of the right internal iliac vein was between 6.1 to 10.2 mm, the statistical distribution of values groups in ascending order being follows: 6.1 to 7.5 mm: 6 cases (33.33% of cases); 8.4 to 8.7 mm: 8 cases (44.44% of cases); 9.3 to 10.2 mm: 4 cases (22.22% of cases). The diameter at the end of the left internal iliac vein was between 5.9 to 9.9 mm, while the distribution statistics on groups of values in ascending order being as follows: 5.9 to 6.2 mm: 4 cases (22.22 % of cases); 7 to 7.6 mm: 3 cases (16.67% of cases); 8.3-8.4 mm: 5 cases (27.28% of cases); 9.1 to 9.9 mm: 6 cases (33.33% of cases). Comparing the common iliac vein caliber of the two, right and left, we found that in 10 cases (55.56% of cases), the right internal iliac vein has a greater diameter than the left one by 0.3 mm. In 8 cases (44.44% of cases), the left internal iliac vein has a larger diameter than the right one with 0.1-0.6 mm; between the two values there is a difference of 0.5 mm

Iliocaval Compression Syndrome

1987 ◽  
Vol 2 (3) ◽  
pp. 173-179 ◽  
Author(s):  
Syde A. Taheri ◽  
Paul Nowakowski ◽  
David Pendergast ◽  
Julie Cullen ◽  
Steve Pisano ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
Iliac Vein ◽  
Venous Hypertension ◽  
Common Iliac Vein ◽  
Compression Syndrome ◽  
Extrinsic Compression ◽  
The Right

The iliocaval compression syndrome is a disorder, frequently found in young women, in which extrinsic compression of the left iliocaval junction produces signs and symptoms of lower extremity venous insufficiency. The anatomic variant which gives rise to this syndrome consists of compression of the left common iliac vein by the overlying right common iliac artery, near its junction with the vena cava. Additional reduction of outflow results from intraluminal venous webs and tight adhesions between the iliac artery and vein. Pain, swelling, pigmentation, and venous claudication characterize this syndrome, which affects predominantly the left leg. The syndrome may progress to iliofemoral thrombosis, phlegmasia cerulea dolens, and venous gangrene. Longstanding iliocaval stenosis may produce valvular incompetence. Exercise plethysmography is a non-invasive test useful in screening patients for iliocaval compression. The definitive diagnosis is made by venography, both ascending and descending, to determine the degree of outflow stenosis. Iliocaval patch angioplasty with retrocaval positioning of the right iliac artery, decreases venous hypertension and leads to improvement in the clinical condition. To date, we have performed iliocaval angioplasty, with retrocaval repositioning of the right common iliac artery, on 18 patients. Of these, 83% have had good results as determined by hemodynamic and clinical assessment.

scholarly journals Surgical Repair of an Arteriovenous Fistula in the Posterior Wall of the Right Common Iliac Vein

2018 ◽  
Vol 11 (1) ◽  
pp. 127-129
Author(s):  
Kohei Hachiro ◽  
Takeshi Kinoshita ◽  
Tomoaki Suzuki ◽  
Tohru Asai
Keyword(s):  
Arteriovenous Fistula ◽  
Surgical Repair ◽  
Posterior Wall ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
The Right

Anomalous course of the left common iliac vein anterior to the right common iliac artery with resultant May-Thurner syndrome

2019 ◽  
Vol 7 (3) ◽  
pp. 450-451
Author(s):  
Arash Fereydooni ◽  
Christine Deyholos ◽  
Nariman Nezami ◽  
Joshua R. Feler ◽  
Hamid Mojibian ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein ◽  
The Right

scholarly journals Treatment of May–Thurner Syndrome in a Patient with an Iliac Artery Stent

2020 ◽  
Vol 3 ◽  
Author(s):  
Raleene Gatmaitan ◽  
Keagan Werner-Gibbings ◽  
Tommaso Donati ◽  
Prakash Saha ◽  
Stephen Black
Keyword(s):  
Surgical Management ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Clinical Manifestations ◽  
Iliac Vein ◽  
Stent Insertion ◽  
Common Iliac Vein ◽  
Medical Implants ◽  
The Right ◽  
Venous Stents

May–Thurner syndrome (MTS) is caused by compression of the left iliac vein by the right iliac artery, leading to clinical manifestations of outflow obstruction in the lower limb and deep vein thrombosis. There have been increasing reports of iatrogenic MTS caused by medical implants. The authors report the case of a 60-year-old man who developed MTS after stenting of the right common iliac artery. Due to the debilitating nature of the patient’s symptoms of venous congestion in the left leg, he proceeded with endovascular venoplasty and venous stent insertion with concurrent intra-arterial balloon angioplasty of the existing right common iliac artery stent. Technical success and primary patency of arterial and venous stents were achieved. The patient remained asymptomatic at 6 weeks and 3 months follow-up and arterial and venous stents were found to be patent on duplex ultrasound. Surgical management of MTS may include thrombolysis, thrombectomy, venoplasty and stenting of the left common iliac vein. Care must be taken to preserve existing medical implants during treatment of MTS. The authors demonstrate that concurrent angioplasty of the right common iliac artery during treatment of the vein is an effective method of preventing arterial stent disruption during surgical management of MTS.

Unusual cases of right-sided and left-sided May–Thurner syndrome

2014 ◽  
Vol 25 (4) ◽  
pp. 797-799 ◽  
Author(s):  
I. B. Vijayalakshmi ◽  
H. S. Natraj Setty ◽  
Chitra Narasimhan
Keyword(s):  
Aortic Stenosis ◽  
Rare Case ◽  
Common Iliac Artery ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Rare Clinical Entity ◽  
Venous Obstruction ◽  
Left Common Iliac Vein ◽  
Left Lower Extremity ◽  
The Right

AbstractMay–Thurner syndrome is a rare clinical entity involving venous obstruction of the left lower extremity. The May–Thurner syndrome is a phenomenon commonly described as an acquired stenosis of the left common iliac vein secondary to compression of the left common iliac vein between the right common iliac artery and the underlying vertebral body. We report one case of May–Thurner syndrome, and another rare case of reverse May–Thurner syndrome, incidently detected during intervention, in a case of aortic stenosis and mitral stenosis with dextrocardia and situs inversus.

UNILATERAL IDIOPATHIC LYMPHŒDEMA WITH OBSTRUCTION OF THE COMMON-ILIAC VEIN BY THE COMMON-ILIAC ARTERY

The Lancet ◽  
1962 ◽  
Vol 280 (7255) ◽  
pp. 537-539 ◽  
Author(s):  
James Calnan ◽  
Thomas Menzies ◽  
B.L. Pentecost ◽  
J.P. Shillingford ◽  
R.E. Steiner
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
The Common

Imaging findings of pelvic venous insufficiency in patients with postural orthostatic tachycardia syndrome

2020 ◽  
pp. 026835552094761
Author(s):  
Martha-Gracia Knuttinen ◽  
Kenneth S Zurcher ◽  
Neal Khurana ◽  
Indravadan Patel ◽  
Amy Foxx-Orenstein ◽  
...  
Keyword(s):  
Venous Insufficiency ◽  
Common Iliac Artery ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Outflow Obstruction ◽  
Venous Compression ◽  
Venous Outflow Obstruction ◽  
The Right ◽  
Pelvic Venous Insufficiency

Objectives Some patients with postural orthostatic tachycardia syndrome (POTS) demonstrate improved dysautonomic symptoms following treatment for pelvic venous insufficiency (PVI). This study assessed the prevalence of significant left common iliac vein (LCIV) compression in POTS patients. Methods Radiologists retrospectively reviewed CT images of pelvic veins for 216 women (191 with POTS and 25 age-comparable controls).Quantitative vascular analysis identified percent-diameter compression of the LCIV by the right common iliac artery. Significant LCIV compression was defined as >50%. Results Significant LCIV compression was found in 69% (131/191) of females with POTS versus 40% (10/25) in controls. The hypothesis that venous compression and presence of POTS are independent was rejected ( p = .005). Conclusions Significant LCIV compression was noted in a majority of female POTS patients, suggesting that incidence of iliac venous obstruction may be higher than the general population. Patients with POTS and symptoms of PVI may benefit from assessment for venous outflow obstruction.

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