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  • Title: Bifurcated endograft repair of ilio-iliac arteriovenous fistula secondary to lumbar diskectomy.
    Author: Sarmiento JM, Wisniewski PJ, Do NT, Vo TD, Aka PK, Tayyarah M, Hsu JH.
    Journal: Ann Vasc Surg; 2010 May; 24(4):551.e13-7. PubMed ID: 20144531.
    Abstract:
    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.
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