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  • Title: [Endovascular repair of iliocaval arteriovenous fistula complicating lumbar disc surgery].
    Author: Ben Jemaa H, Maalej A, Lazzez K, Jemal H, Karray S, Ben Mahfoudh K.
    Journal: J Mal Vasc; 2016 May; 41(3):205-9. PubMed ID: 26920402.
    Abstract:
    Vascular complications of lumbar disc surgery are rare. Few cases have been reported. Arteriovenous fistulas are the most common. They are due to anatomical relationships between the last lumbar vertebrae, the corresponding discs, and the iliac vessels; degenerative lesions of the intervertebral discs facilitate instrumental vessel perforation, and operative difficulty. Computed tomography is particularly accurate for making the diagnosis. Treatment strategies consist in surgery or endovascular management. Percutaneous endovascular treatment using a stent-graft is a reasonable option for treating arteriovenous fistula. We describe the case of a 50-year-old patient who developed an iliocaval arteriovenous fistula following lumbar disc hernia surgery. The lesion was excluded by a stent-graft. The postoperative period was uneventful.
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