title: [Endovascular repair of iliocaval arteriovenous fistula complicating lumbar disc surgery].
abstract: Vascular complications of lumbar disc surgery are rare. Few cases have been reported. Arteriovenous fistulas are the most common. They are due to anatomical relationships between the last lumbar vertebrae, the corresponding discs, and the iliac vessels; degenerative lesions of the intervertebral discs facilitate instrumental vessel perforation, and operative difficulty. Computed tomography is particularly accurate for making the diagnosis. Treatment strategies consist in surgery or endovascular management. Percutaneous endovascular treatment using a stent-graft is a reasonable option for treating arteriovenous fistula. We describe the case of a 50-year-old patient who developed an iliocaval arteriovenous fistula following lumbar disc hernia surgery. The lesion was excluded by a stent-graft. The postoperative period was uneventful.
authors.affiliation: Service de chirurgie cardio-vasculaire et thoracique, CHU Habib Bourguiba, avenue Majida Boulila, 3027 Sfax, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Ben Jemaa
authors.affiliation: Service d'imagerie médicale, CHU Habib Bourguiba, avenue Majida Boulila, 3027 Sfax, Tunisie. Electronic address: maalej.ayman@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Maalej
authors.affiliation: Service d'imagerie médicale, CHU Habib Bourguiba, avenue Majida Boulila, 3027 Sfax, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Lazzez
authors.affiliation: Service de chirurgie cardio-vasculaire et thoracique, CHU Habib Bourguiba, avenue Majida Boulila, 3027 Sfax, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Jemal
authors.affiliation: Service de chirurgie cardio-vasculaire et thoracique, CHU Habib Bourguiba, avenue Majida Boulila, 3027 Sfax, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Karray
authors.affiliation: Service d'imagerie médicale, CHU Habib Bourguiba, avenue Majida Boulila, 3027 Sfax, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Ben Mahfoudh
mesh_terms: D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D057510:Endovascular Procedures; D006801:Humans; D007083:Iliac Artery; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D014682:Vena Cava, Inferior
keywords: Arteriovenous fistula; Artère iliaque; Chirurgie discale lombaire; Endoprothèse; Fistule artério-veineuse; Iatrogenic; Iatrogène; Iliac artery; Inferior vena cava; Lumbar disc surgery; Stent-graft; Veine cave inférieure