A case of external iliac arteriovenous fistula and high-output cardiac failure after endovenous laser treatment of great saphenous vein.
Valvular incompetence in the great saphenous vein (GSV) is the most common cause of superficial venous insufficiency and symptomatic varicose vein development. Recently, less invasive modalities such as foam sclerotherapy, radiofrequency ablation (RFA), and endovenous laser treatment (EVLT) have gained popularity in the treatment of saphenofemoral junction and saphenous truncal incompetence over the traditional approach of surgical ligation and stripping. Here, we present the case of a 32-year-old woman who underwent EVLT and was diagnosed subsequently with ipsilateral external iliac arteriovenous (AV) fistula and high-output cardiac failure. She was stabilized medically and treated surgically with a covered stent placed in the external iliac artery with complete resolution of the fistula and cardiac failure. We reviewed the literature and discuss the complications of AV fistulae after EVLT.
Ziporin
Scott J
SJ
Department of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA.
Ifune
Catherine K
CK
MacConmara
Malcolm P
MP
Geraghty
Patrick J
PJ
Choi
Eric T
ET
D000328:Adult; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D016534:Cardiac Output, High / Q000209:etiology*; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000601:surgery; D053685:Laser Therapy / Q000009:adverse effects*; D011474:Prosthesis Design; D012501:Saphenous Vein / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000601:surgery*