Endovascular Occlusion of Iliocaval Confluence During Surgical Repair of Iliocaval Fistula due to Ruptured Abdominal Aortoiliac Aneurysm.
Vasc Endovascular Surg
; 56(4): 420-423, 2022 May.
Article
em En
| MEDLINE
| ID: mdl-35156894
ABSTRACT
We describe the successful use of endovascular occlusion of the iliocaval confluence to prevent excessive bleeding during open repair of an iliocaval arteriovenous fistula due to a ruptured abdominal aortoiliac aneurysm. A 70-year-old man was admitted with chest pain, hemodynamic instability, acute pulmonary edema, and bilateral leg swelling. Computed tomography angiography (CTA) showed a ruptured AAIA with a large primary iliocaval fistula. Aortobifemoral bypass with a Dacron bifurcated prosthetic graft was performed with catheter balloon occlusion of the iliocaval confluence to prevent massive bleeding. Follow-up CTA showed no complications. Iliocaval fistula is a rare complication of AAIA that requires emergent surgery. Endovascular occlusion of iliac or inferior cava vein can control bleeding.
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Base de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
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Fístula Arteriovenosa
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Aneurisma da Aorta Abdominal
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Aneurisma Roto
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Implante de Prótese Vascular
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article