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Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula.
Vasc Endovascular Surg. 2015 Jul-Aug; 49(5-6):148-51.VE

Abstract

We describe a case of a 55-year-old male with a remote history of a gunshot wound to the left thigh who presented with a 1-year history of worsening high-output congestive heart failure, left lower extremity edema, and left lower abdominal discomfort. Diagnostic evaluation included a computed tomographic angiography (CTA) that demonstrated a fistulous communication between the left superficial femoral artery (SFA) and vein (SFV) as well as a 7.2-cm external iliac vein aneurysm. Given his symptomatology, an endovascular repair of his AVF was recommended, followed by antithrombotic therapy for his aneurysm. Three-month postoperative CTA confirmed AVF exclusion as well as a significant decrease in maximal diameter of the left external iliac vein aneurysm now measuring 24 mm. This case is the first reported successful mid-term repair of a iliac venous aneurysm in the setting of a traumatic arteriovenous fistula using an endovascular approach.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Thompson PC
Division of Vascular Surgery, Stanford University, Stanford, CA, USA thompspg@stanford.edu.
Ullery BW
Division of Vascular Surgery, Stanford University, Stanford, CA, USA.
Fleischmann D
Division of Vascular Surgery, Stanford University, Stanford, CA, USA.
Chandra V
Division of Vascular Surgery, Stanford University, Stanford, CA, USA.

MeSH

AneurysmArteriovenous FistulaEndovascular ProceduresFemoral ArteryFemoral VeinFibrinolytic AgentsHumansIliac VeinMaleMiddle AgedPhlebographyStentsThighTomography, X-Ray ComputedTreatment OutcomeVascular System InjuriesWounds, Gunshot

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26335991

Citation

Thompson, Patrick C., et al. "Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula." Vascular and Endovascular Surgery, vol. 49, no. 5-6, 2015, pp. 148-51.
Thompson PC, Ullery BW, Fleischmann D, et al. Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula. Vasc Endovascular Surg. 2015;49(5-6):148-51.
Thompson, P. C., Ullery, B. W., Fleischmann, D., & Chandra, V. (2015). Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula. Vascular and Endovascular Surgery, 49(5-6), 148-51. https://doi.org/10.1177/1538574415602781
Thompson PC, et al. Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula. Vasc Endovascular Surg. 2015 Jul-Aug;49(5-6):148-51. PubMed PMID: 26335991.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula. AU - Thompson,Patrick C, AU - Ullery,Brant W, AU - Fleischmann,Dominik, AU - Chandra,Venita, Y1 - 2015/09/02/ PY - 2015/9/4/entrez PY - 2015/9/4/pubmed PY - 2016/6/30/medline KW - anticoagulation KW - covered stent KW - endovascular KW - iliac venous aneurysms KW - traumatic arteriovenous fistula SP - 148 EP - 51 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 49 IS - 5-6 N2 - We describe a case of a 55-year-old male with a remote history of a gunshot wound to the left thigh who presented with a 1-year history of worsening high-output congestive heart failure, left lower extremity edema, and left lower abdominal discomfort. Diagnostic evaluation included a computed tomographic angiography (CTA) that demonstrated a fistulous communication between the left superficial femoral artery (SFA) and vein (SFV) as well as a 7.2-cm external iliac vein aneurysm. Given his symptomatology, an endovascular repair of his AVF was recommended, followed by antithrombotic therapy for his aneurysm. Three-month postoperative CTA confirmed AVF exclusion as well as a significant decrease in maximal diameter of the left external iliac vein aneurysm now measuring 24 mm. This case is the first reported successful mid-term repair of a iliac venous aneurysm in the setting of a traumatic arteriovenous fistula using an endovascular approach. SN - 1938-9116 UR - https://www.unboundmedicine.com/medline/citation/26335991/Novel_Approach_to_a_Giant_External_Iliac_Vein_Aneurysm_Secondary_to_Posttraumatic_Femoral_Arteriovenous_Fistula_ DB - PRIME DP - Unbound Medicine ER -