Iliac arteriovenous fistulas after lumbar spinal surgery


ÖCAL O., PEYNİRCİOĞLU B., Eldem G., AKPINAR E., ONUR M. R. , Kabakci G.

TURKISH JOURNAL OF EMERGENCY MEDICINE, vol.17, no.3, pp.109-111, 2017 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 3
  • Publication Date: 2017
  • Doi Number: 10.1016/j.tjem.2017.03.001
  • Journal Name: TURKISH JOURNAL OF EMERGENCY MEDICINE
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.109-111
  • Keywords: Arteriovenous fistula, Spinal, Surgery, Endovascular, VASCULAR COMPLICATIONS, DISK SURGERY
  • Hacettepe University Affiliated: Yes

Abstract

Iatrogenic arteriovenous fistula (AVF) is an unusual and potentially fatal complication of lumbar spinal surgery. The presentation of these injuries is usually late, with symptoms such as leg swelling or cardiac failure. It is crucial to suspect AVF in the patient which presents to emergency with lumbar spinal surgery history. The diagnosis is often based on imaging studies such as computed tomography (CT) or magnetic resonance (MR) angiography. Surgery was the first choice of treatment, but with recent advances in stent technology endovascular approach has become widely popular. We present two cases of AVF secondary to lumbar spinal surgery, one of them presenting with overt heart failure and the other one with leg swelling. Copyright (C) 2017 The Emergency Medicine Association of Turkey. Production and hosting by Elsevier B.V. on behalf of the Owner.