Why the study?
Arteriovenous fistula is a rare and often unrecognized complication of aneurysms with a varied and frequently inconsistent presentation.
Endovascular repair of an ilio-iliac arteriovenous fistula can rapidly reverse severe systemic complications such as high-output heart failure and hepatorenal syndrome.
May support endovascular repair in select ilio-iliac fistulas with systemic effects; hypothesis-generating and requires prospective validation.
Arteriovenous fistula is a rare and often unrecognized complication of aneurysms, with a varied and frequently inconsistent presentation. We present the case of an ilio-iliac arteriovenous fistula formation in a 71-year-old man associated with a type III endoleak after endovascular iliac branch repair. Because of rapidly progressing congestive heart failure and hepatorenal syndrome, we performed urgent endovascular repair with successful endoleak exclusion. After the procedure, the patient demonstrated a remarkably rapid and complete recovery.
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Speranza et al. (2021) studied this question.
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