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A case of iatrogenic ilio-iliac arteriovenous fistula after percutaneous cardiopulmonary support in a patient with a tortuous iliac artery

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Abstract

Percutaneous cardiopulmonary support (PCPS) has repeatedly been used with success as a tool for resuscitation in various life-threatening emergencies. PCPS-related vascular injuries are common, but ilio-iliac arteriovenous fistula (AVF) formation after PCPS has not been reported so far. We experienced a case of iatrogenic ilio-iliac AVF after PCPS, in which association between iliac artery tortuosity and AVF formation was strongly suspected. This case suggests that the risk of iatrogenic iliac AVF should be considered when PCPS is performed, especially in elderly patients whose arteries are frequently tortuous.

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References

  1. Schwarz B, Mair P, Margreiter J, Pomaroli A, Hoermann C, Bonatti J, Lindner KH. Experience with percutaneous venoarterial cardiopulmonary bypass for emergency circulatory support. Crit Care Med. 2003;31:758–64.

    Article  PubMed  Google Scholar 

  2. Mair P, Hoermann C, Moertl M, Bonatti J, Falbesoner C, Balogh D. Percutaneous venoarterial extracorporeal membrane oxygenation for emergency mechanical circulatory support. Resuscitation. 1996;33:29–34.

    Article  PubMed  CAS  Google Scholar 

  3. Kelm M, Perings SM, Jax T, Lauer T, Schoebel FC, Heintzen MP, Perings C, Strauer BE. Incidence and clinical outcome of iatrogenic femoral arteriovenous fistulas: implications for risk stratification and treatment. J Am Coll Cardiol. 2002;40:291–7.

    Article  PubMed  Google Scholar 

  4. Akpinar B, Peynircioğlu B, Cil B, Dağlioğlu E, Cekirge S. Iliac vascular complication after spinal surgery: immediate endovascular repair following CT angiographic diagnosis. Diagn Interv Radiol. 2009;15:303–5.

    PubMed  Google Scholar 

  5. McCarter DH, Johnstone RD, McInnes GC, Reid DB, Pollock JG, Reid AW. Iliac arteriovenous fistula following lumbar disc surgery treated by percutaneous endoluminal stent grafting. Br J Surg. 1996;83:796–7.

    Article  PubMed  CAS  Google Scholar 

  6. Tillich M, Bell RE, Paik DS, Fleischmann D, Sofilos MC, Logan LJ, Rubin GD. Iliac arterial injuries after endovascular repair of abdominal aortic aneurysms: correlation with iliac curvature and diameter. Radiology. 2001;219:129–36.

    PubMed  CAS  Google Scholar 

  7. Perings SM, Kelm M, Jax T, Strauer BE. A prospective study on incidence and risk factors of arteriovenous fistulae following transfemoral cardiac catheterization. Int J Cardiol. 2003;88:223–8.

    Article  PubMed  Google Scholar 

  8. Brewster DC, Cambria RP, Moncure AC, Darling RC, LaMuraglia GM, Geller SC, Abbott WM. Aortocaval and iliac arteriovenous fistulas: recognition and treatment. J Vasc Surg. 1991;13:253–64.

    Article  PubMed  CAS  Google Scholar 

  9. Papadoulas S, Konstantinou D, Kourea HP, Kritikos N, Haftouras N, Tsolakis JA. Vascular injury complicating lumbar disc surgery. A systematic review. Eur J Vasc Endovasc Surg. 2002;24:189–95.

    Article  PubMed  CAS  Google Scholar 

  10. Soto JA, Múnera F, Cardoso N, Guarín O, Medina S. Diagnostic performance of helical CT angiography in trauma to large arteries of the extremities. J Comput Assist Tomogr. 1999;23:188–96.

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We thank Jun-A Cho for her kind English language consultation.

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Authors and Affiliations

  1. Department of Emergency Medicine, Chonnam National University Hospital, 671, Jebongno, Donggu, Gwangju, Republic of Korea

    Byung Kook Lee, Kyung Woon Jeung, Yong Il Min, Tag Heo & Hyun Ho Ryu

  2. Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, 671, Jebongno, Donggu, Gwangju, Republic of Korea

    In Seok Jeong

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  1. Byung Kook Lee
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  2. Kyung Woon Jeung
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  3. Yong Il Min
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  4. Tag Heo
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  5. Hyun Ho Ryu
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Correspondence to Kyung Woon Jeung.

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Lee, B.K., Jeung, K.W., Min, Y.I. et al. A case of iatrogenic ilio-iliac arteriovenous fistula after percutaneous cardiopulmonary support in a patient with a tortuous iliac artery. J Artif Organs 14, 151–154 (2011). https://doi.org/10.1007/s10047-010-0545-5

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  • DOI: https://doi.org/10.1007/s10047-010-0545-5

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