Skip to main content
Log in

Emergency Endovascular “Bridge” Treatment for Iliac-Enteric Fistula

  • Letter to the Editor
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Aortic aneurysm has been reported to be the dominant cause of primary iliac-enteric fistula (IEF) in >70% of cases [1]; other less common causes of primary IEF include peptic ulcer, primary aortitis, pancreatic pseudocyst, or neoplastic erosion into an adjacent artery [2, 3]. We describe an unusual case of IEF managed with a staged approach using an endovascular stent-graft as a “bridge” in the emergency setting to optimize the next elective definitive excision of the lesion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Vetto JT (1987) Iliac arterial-enteric fistulas occurring after pelvic irradiation. Surgery 101:643–673

    PubMed  CAS  Google Scholar 

  2. Thomson VS, Gopinath KG, Joseph E, Joseph G (2009) Primary aorto-enteric fistula: a rare complication of abdominal aortic aneurysm. J Postgrad Med 55:267–269

    Article  PubMed  CAS  Google Scholar 

  3. Busutill SJ, Goldstone J (2001) Diagnosis and management of aortoenteric fistulas. Semin Vasc Surg 14:302–311

    Article  Google Scholar 

  4. Baril DT, Carroccio A, Ellozy SH, Palchik E, Sachdev U, Jacobs TS et al (2006) Evolving strategies for the treatment of aortoenteric fistulas. J Vasc Surg 44:250–257

    Article  PubMed  Google Scholar 

  5. Biancari F, Romsi P, Perälä J, Koivukangas V, Cresti R, Juvonen T (2006) Staged endovascular stent-grafting and surgical treatment of a secondary aortoduodenal fistula. Eur J Vasc Endovasc Surg 31:42–43

    Article  PubMed  CAS  Google Scholar 

  6. Papacharalambous G, Skourtis G, Saliveros A, Karagannidis D, Makris S, Panousis P et al (2007) Endovascular treatment of a primary aortoduodenal fistula: 2-year follow-up of a case report. Vasc Endovascular Surg 41:265–270

    Article  PubMed  Google Scholar 

  7. Leonhardt H, Mellander S, Snygg J, Lönn L (2008) Endovascular management of acute bleeding arterioenteric fistulas. Cardiovasc Intervent Radiol 31:542–549

    Article  PubMed  Google Scholar 

  8. Antoniou GA, Koutsias S, Antoniou SA, Georgiakakis A, Lazarides MK, Giannoukas AD (2009) Outcome after endovascular stent graft repair of aortoenteric fistula: a systematic review [review]. J Vasc Surg 49:782–789

    Article  PubMed  Google Scholar 

  9. Robertson GA, Valente JF, Hunter GC, Bernhard VM, Putnam CW (1991) Iliac-enteric fistula following Dacron patch angioplasty. Ann Vasc Surg 5:467–469

    Article  PubMed  CAS  Google Scholar 

  10. Dorigo W, Pulli R, Azas L, Pratesi G, Innocenti AA, Pratesi C (2003) Early and long-term results of conventional surgical treatment of secondary aorto-enteric fistula. Eur J Vasc Endovasc Surg 26:512–528

    Article  PubMed  CAS  Google Scholar 

  11. Danneels MIL, Verhagen HJM, Teijink JAW, Cuypers Ph, Nevelsteen A, Vermassen FEG (2006) Endovascular repair for aort-enteric fistula: a brige too far or a bridge to surgery? Eur J Vasc Endovasc Surg 32:27–33

    Article  PubMed  CAS  Google Scholar 

  12. El Sakka K, Halawa M, Kotze C, Francis I, Doyle T, Yusuf W (2008) Complications of open abdominal aortic surgery: the endovascular solution. Interact Cardiovasc Thorac Surg 7:121–124

    Article  PubMed  Google Scholar 

  13. Jayarajan S, Napolitano LM, Rectenwald JE, Upchurch GR Jr (2009) Primary aortoenteric fistula and endovascular repair. Vasc Endovascular Surg 43:592–596

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gabriele Piffaretti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Franchin, M., Tozzi, M., Piffaretti, G. et al. Emergency Endovascular “Bridge” Treatment for Iliac-Enteric Fistula. Cardiovasc Intervent Radiol 34, 1106–1108 (2011). https://doi.org/10.1007/s00270-011-0112-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-011-0112-3

Keywords

Navigation