Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Vascular. 2022 Feb;30(1):171-175. doi: 10.1177/1708538121995298. Epub 2021 Mar 24.
Cases of arteriovenous fistula following iliac vein thrombosis are uncommon. The pathogenesis of its formation remains unclear. We present the efficacy of left common iliac vein recanalization in acquired arteriovenous fistula treatment.
A 71-year-old man presented with severe lower left limb edema and was diagnosed with acquired arteriovenous fistula following iliac vein thrombosis. Treatment by recanalizing the left common iliac vein with bare stents was selected over embolizing the arteriovenous fistula, leading to an excellent clinical outcome.: Acquired arteriovenous fistula should be considered in some patients with post-thrombotic syndrome. Endovascular recanalization without embolization of the arteriovenous fistula can effectively treat iliac vein thrombosis associated with arteriovenous fistula.
髂静脉血栓形成后发生动静脉瘘并不常见，其形成的发病机制尚不清楚。我们介绍了左髂总静脉再通在治疗获得性动静脉瘘中的疗效。
一名 71 岁男性因严重左下肢体水肿就诊，被诊断为髂静脉血栓形成后获得性动静脉瘘。选择使用裸支架再通左髂总静脉而非栓塞动静脉瘘来治疗，取得了极好的临床效果。
对于一些血栓后综合征患者，应考虑动静脉瘘的存在。动静脉瘘不栓塞的血管腔内再通可以有效治疗伴有动静脉瘘的髂静脉血栓形成。
