Traumatic Iliac Arteriovenous Fistula Treated With the Amplatzer Vascular Plug II: A Case Report and Literature Review

Vasc Endovascular Surg. 2024 Jul;58(5):535-539. doi: 10.1177/15385744231225375. Epub 2023 Dec 29.

Abstract

Traumatic iliac arteriovenous fistula is a rare complication of vascular injury. Open surgical repair has an incidence of postoperative complications. In recent years, endovascular treatment has shown better efficacy. We report a 62-year-old female AVF patient with a stab injury history of more than 16 years. Computed tomography angiography (CTA) revealed a large arteriovenous fistula between the right internal iliac artery and the common iliac vein. After considering the patient's relevant conditions, an endovascular approach was satisfactorily performed with the implantation of an Amplatzer Vascular Plug II to interrupt the abnormal vascular communication and maintain arterial and venous patency. The final control images showed closure of the arteriovenous communication.

Keywords: amplatzer vascular plug II; common iliac vein; internal iliac artery; traumatic arteriovenous fistula.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Arteriovenous Fistula* / diagnostic imaging
  • Arteriovenous Fistula* / etiology
  • Arteriovenous Fistula* / physiopathology
  • Arteriovenous Fistula* / surgery
  • Arteriovenous Fistula* / therapy
  • Computed Tomography Angiography*
  • Embolization, Therapeutic / instrumentation
  • Endovascular Procedures* / instrumentation
  • Female
  • Humans
  • Iliac Artery* / diagnostic imaging
  • Iliac Artery* / injuries
  • Iliac Artery* / physiopathology
  • Iliac Artery* / surgery
  • Iliac Vein* / diagnostic imaging
  • Iliac Vein* / injuries
  • Middle Aged
  • Phlebography
  • Treatment Outcome
  • Vascular Patency
  • Vascular System Injuries* / diagnostic imaging
  • Vascular System Injuries* / etiology
  • Vascular System Injuries* / physiopathology
  • Vascular System Injuries* / surgery
  • Vascular System Injuries* / therapy
  • Wounds, Stab* / complications
  • Wounds, Stab* / diagnostic imaging
  • Wounds, Stab* / surgery