title: [Thrombosis of an aorto-iliac stent graft used for treating an iliocaval arteriovenous fistula following lumbar disc surgery].
abstract: OBJECTIVE
  Major vessel injury is a rare complication of spinal surgery. Iliac artery injury is the most common. Frequently, a chronic arteriovenous fistula develops.
  
  
  METHODS
  We describe the case of a 63-year-old woman who had developed a chronic arteriovenous fistula following lumbar disc hernia surgery. The patient was treated using an Anaconda™ stent graft (Vascutek Terumo). After 2years, the prothesis thrombosed and an aorto-iliac bypass was performed.
  
  
  RESULTS
  A gel soft prosthesis 18/9 (Vascutek Terumo) was implanted by laparotomy. The postoperative period was uneventful. A month later, the patient had recovered good lower limb function.
  
  
  CONCLUSIONS
  The choice between endovascular versus open surgery must take into account the patient's age, the risk of long-term complications, and the need for radiographic surveillance. Curative open surgery remains a valid option for young patients.
authors.affiliation: Service de chirurgie vasculaire, centre hospitalier de Luxembourg, 4, rue Ernest-Barblé, 1210 Luxembourg, Luxembourg. luigi.demagistris@gmail.com
authors.forename: L
authors.initials: L
authors.lastname: De Magistris
authors.forename: L
authors.initials: L
authors.lastname: Arru
authors.forename: N
authors.initials: N
authors.lastname: Verbeeck
authors.forename: J C
authors.initials: JC
authors.lastname: Pillet
mesh_terms: D001164:Arteriovenous Fistula / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008159:Lumbar Vertebrae; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology*; D014682:Vena Cava, Inferior
keywords: Arteriovenous fistula; Chirurgie discale lombaire; Endoprothèse; Fistule artério-veineuse; Iatrogenic; Iatrogènie; Spinal surgery; Stent graft; Thrombose; Thrombosis