title: Successful endovascular treatment of iliac arteriovesical fistula with secondary stent-graft infection.
abstract: A 58-year-old woman initially presented with massive gross hematuria and iliac arteriovesical fistula (IAVF). Endovascular stent-graft repair achieved complete exclusion of the IAVF and controlled the bleeding, but sepsis subsequently developed because of endograft infection. Endovascular embolization of the infected stent graft was performed after extraanatomic bypass surgery. The patient recovered and showed no signs of graft infection or recurrent fistulization at 14 months after treatment. Endovascular embolization of infected stent grafts combined with extraanatomic bypass may be an acceptable treatment option for graft-related sepsis in cases that are resistant to conservative treatment and pose high surgical risk for graft excision.
authors: Department of Radiology, Wakayama Medical University, 811-1, Kimiidera, Wakayama Shi, Wakayama 641-8510, Japan. momonga@wakayama-med.ac.jp
authors: Motoki
authors: M
authors: Nakai
authors: Hirotatsu
authors: H
authors: Sato
authors: Morio
authors: M
authors: Sato
authors: Akira
authors: A
authors: Ikoma
authors: Hiroki
authors: H
authors: Minamiguchi
authors: Nobuyuki
authors: N
authors: Kawai
authors: Tetsuo
authors: T
authors: Sonomura
authors: Yoshiharu
authors: Y
authors: Nishimura
authors: Yoshitaka
authors: Y
authors: Okamura
mesh_terms: D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000379:methods; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D015607:Stents / Q000009:adverse effects*; D001747:Urinary Bladder Fistula / Q000150:complications / Q000601:surgery*; D016157:Vascular Fistula / Q000150:complications / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: EIA; ESGR; IAVF; NBCA; endovascular stent-graft repair; external iliac artery; iliac arteriovesical fistula; n-butyl cyanoacrylate