title: A novel endovascular technique in the management of a large internal iliac artery aneurysm associated with an arteriovenous fistula.
abstract: OBJECTIVE
  To describe a novel endovascular technique in the management of a complex arteriovenous fistula between a large internal iliac artery aneurysm and the adjacent iliac vein in a 76-year old patient with previous aortobifemoral bypass graft with an occluded proximal common iliac artery.
  
  
  METHODS
  Due to the high risk of open surgery in this case, endovascular treatment with simultaneous venous and arterial access was performed, with implantation of 2 stent grafts in the iliac vein to cover the fistulous communication and embolisation of the native external iliac artery (inflow).
  
  
  CONCLUSIONS
  The endovascular technique described enables thrombosis of the large internal iliac aneurysm and treatment of the arteriovenous fistula without exposing the patient to the high morbidity and mortality associated with open surgery.
authors.affiliation: Vascular Radiology Department, Hull Royal Infirmary, HU3 2JZ Hull, UK. kpatatas@hotmail.com
authors.forename: Kyriacos
authors.initials: K
authors.lastname: Patatas
authors.forename: Graham
authors.initials: G
authors.lastname: Robinson
authors.forename: Vivek
authors.initials: V
authors.lastname: Shrivastava
authors.forename: Raghuram
authors.initials: R
authors.lastname: Lakshminarayan
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D007084:Iliac Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome