Successful treatment of acquired arteriovenous fistula following iliac vein thrombosis

Vascular. 2022 Feb;30(1):171-175. doi: 10.1177/1708538121995298. Epub 2021 Mar 24.

Abstract

Objectives: 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.

Methods: 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.Results and Conclusions: 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.

Keywords: arteriovenous fistula; endovascular therapy; iliac vein thrombosis; stent.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm* / complications
  • Arteriovenous Fistula* / diagnostic imaging
  • Arteriovenous Fistula* / etiology
  • Arteriovenous Fistula* / therapy
  • Humans
  • Iliac Artery
  • Iliac Vein / diagnostic imaging
  • Male
  • Stents
  • Treatment Outcome
  • Venous Thrombosis* / diagnostic imaging
  • Venous Thrombosis* / etiology
  • Venous Thrombosis* / therapy