Sarmiento Jose M, Wisniewski Paul J, Do Natalie T, Vo Trung D, Aka Paul K, Tayyarah Majid, Hsu Jeffrey H
Division of Biomedical Sciences, University of California, Riverside, CA, USA.
Ann Vasc Surg. 2010 May;24(4):551.e13-7. doi: 10.1016/j.avsg.2009.08.019. Epub 2010 Feb 9.
Ilio-iliac arteriovenous (AV) fistula is a rare complication after lumbar diskectomy. Endovascular repair of such fistulas is a growing trend in vascular surgery. This is a case report of an endovascular exclusion of an ilio-iliac AV fistula in a 51-year-old male. This man presented with high-output congestive heart failure and ascites. The AV fistula was discovered 17 years after a lumbar diskectomy. Computed topography (CT) revealed a right common iliac artery pseudoaneurysm connecting to the left common iliac vein. The fistula was repaired using a bifurcated Gore Excluder endograft. There were follow-up CT scans at 6 and 10 months confirming exclusion of the AV fistula. Endovascular AV fistula repair offers a safe, effective method for managing ilio-iliac AV fistulas.
髂-髂动静脉瘘是腰椎间盘切除术后一种罕见的并发症。此类瘘的血管内修复在血管外科领域呈增长趋势。本文报告了1例51岁男性髂-髂动静脉瘘的血管内封堵病例。该男性患者表现为高输出量充血性心力衰竭和腹水。动静脉瘘在腰椎间盘切除术后17年被发现。计算机断层扫描（CT）显示右髂总动脉假性动脉瘤与左髂总静脉相连。使用分叉型戈尔覆膜支架移植物修复了瘘口。术后6个月和10个月进行了CT随访扫描，证实动静脉瘘已被封堵。血管内修复动静脉瘘为髂-髂动静脉瘘的治疗提供了一种安全、有效的方法。
