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Postdiskectomy AV fistula: CT angiographic demonstration

Year 2010, Volume: 15 Issue: 3, 108 - 110, 17.01.2013

Abstract

Abstract. Postdiskectomy vascular complications are well known. Immediate postoperative vascular complications are diagnosed promptly and treated successfully in most cases. Postdiskectomy arteriovenous fistula occurs due to perforation of the anterior longitudinal ligament with injury to adjacent vessels like aorta, iliac vein, iliac artery or inferior vena cava, iliac vein being the most commonly involved vascular structure. In most patients, overt signs and symptoms of postdiskectomy fistula are not apparent until many years after injury usually presenting as high output failure. Although catheter angiography has been the gold standard for diagnosis, CT angiography with 64 slice CT gives’ spectacular’ 3 dimensional and multiplanar demonstration of the fistula, making direct angiography unnecessary.

 

Key words: AV fistula, CT angiography, diskectomy


References

  • Goodkin R, Laska LL. Vascular and Visceral injuries associated with lumbar disc surgery; Medico-legal implications. Surg Neurol 1998; 49: 358-370.
  • Szolar DH, Preidler KW, Steiner H, et al. Vascular complications in lumbar disk surgery: report of four cases. Neuroradiology 1996; 38: 521-525.
  • Jue-Denis P, Kieffer E, Benhamou M, et al. Injuries to abdominal vessels after surgery of disc herniation Rev Chir Orthop Reparatrice Appar Mot 1984; 70: 141-145.
  • Hildreth DH, Turcke DA. Postlaminectomy arteriovenous fistula. Surgery 1977; 81: 512-520.
  • Cinara IS, Davidovic LB, Kostic DM, et al. Aorto- caval fistulas. a review of eighteen years experience. Acta Chir Belg 2005; 105: 616-620.
  • Machado-Atías I, Fornés O, González-Bello R, Machado-Hernández I. Iliac arteriovenous fistula due to spinal disk surgery. Causes severe hemodynamic repercussion with pulmonary hypertension. Tex Heart Inst J 1993; 20: 60-64.
  • Duque AC, Merlo I, Janeiro MJ, Madeira EN, Pinto-Ribeiro R. Postlaminectomy arteriovenous fistula: the Brazilian experience. J Cardiovasc Surg (Torino) 1991; 32: 783-786.
  • Forbes TL, Faizer R, Millward SF. Endovascular management of chronic iliac-caval fistula. EJVES Extra 2004; 8: 116-118.
  • Gallerani M, Maida G, Boari B, et al. High output heart failure due to an iatrogenic arterio-venous fistula after lumber disc Surgery. Acta Neurochir (Wein) 2007; 149: 1243-1247.
  • Kiguchi M, O’Rourke HJ, Dasyam A, Makaroun MS, Chaer RA. Endovascular repair of two iliac pseudoaneurysms and arteriovenous fistula following spine surgery. Vasc Endovascular Surg 2010; 44: 126-130.
Year 2010, Volume: 15 Issue: 3, 108 - 110, 17.01.2013

Abstract

References

  • Goodkin R, Laska LL. Vascular and Visceral injuries associated with lumbar disc surgery; Medico-legal implications. Surg Neurol 1998; 49: 358-370.
  • Szolar DH, Preidler KW, Steiner H, et al. Vascular complications in lumbar disk surgery: report of four cases. Neuroradiology 1996; 38: 521-525.
  • Jue-Denis P, Kieffer E, Benhamou M, et al. Injuries to abdominal vessels after surgery of disc herniation Rev Chir Orthop Reparatrice Appar Mot 1984; 70: 141-145.
  • Hildreth DH, Turcke DA. Postlaminectomy arteriovenous fistula. Surgery 1977; 81: 512-520.
  • Cinara IS, Davidovic LB, Kostic DM, et al. Aorto- caval fistulas. a review of eighteen years experience. Acta Chir Belg 2005; 105: 616-620.
  • Machado-Atías I, Fornés O, González-Bello R, Machado-Hernández I. Iliac arteriovenous fistula due to spinal disk surgery. Causes severe hemodynamic repercussion with pulmonary hypertension. Tex Heart Inst J 1993; 20: 60-64.
  • Duque AC, Merlo I, Janeiro MJ, Madeira EN, Pinto-Ribeiro R. Postlaminectomy arteriovenous fistula: the Brazilian experience. J Cardiovasc Surg (Torino) 1991; 32: 783-786.
  • Forbes TL, Faizer R, Millward SF. Endovascular management of chronic iliac-caval fistula. EJVES Extra 2004; 8: 116-118.
  • Gallerani M, Maida G, Boari B, et al. High output heart failure due to an iatrogenic arterio-venous fistula after lumber disc Surgery. Acta Neurochir (Wein) 2007; 149: 1243-1247.
  • Kiguchi M, O’Rourke HJ, Dasyam A, Makaroun MS, Chaer RA. Endovascular repair of two iliac pseudoaneurysms and arteriovenous fistula following spine surgery. Vasc Endovascular Surg 2010; 44: 126-130.
There are 10 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Feroze Shaheen This is me

Tariq Gojwari This is me

Farooq Mir This is me

Aijaz Hakim This is me

Publication Date January 17, 2013
Published in Issue Year 2010 Volume: 15 Issue: 3

Cite

APA Shaheen, F., Gojwari, T., Mir, F., Hakim, A. (2013). Postdiskectomy AV fistula: CT angiographic demonstration. EASTERN JOURNAL OF MEDICINE, 15(3), 108-110.
AMA Shaheen F, Gojwari T, Mir F, Hakim A. Postdiskectomy AV fistula: CT angiographic demonstration. EASTERN JOURNAL OF MEDICINE. March 2013;15(3):108-110.
Chicago Shaheen, Feroze, Tariq Gojwari, Farooq Mir, and Aijaz Hakim. “Postdiskectomy AV Fistula: CT Angiographic Demonstration”. EASTERN JOURNAL OF MEDICINE 15, no. 3 (March 2013): 108-10.
EndNote Shaheen F, Gojwari T, Mir F, Hakim A (March 1, 2013) Postdiskectomy AV fistula: CT angiographic demonstration. EASTERN JOURNAL OF MEDICINE 15 3 108–110.
IEEE F. Shaheen, T. Gojwari, F. Mir, and A. Hakim, “Postdiskectomy AV fistula: CT angiographic demonstration”, EASTERN JOURNAL OF MEDICINE, vol. 15, no. 3, pp. 108–110, 2013.
ISNAD Shaheen, Feroze et al. “Postdiskectomy AV Fistula: CT Angiographic Demonstration”. EASTERN JOURNAL OF MEDICINE 15/3 (March 2013), 108-110.
JAMA Shaheen F, Gojwari T, Mir F, Hakim A. Postdiskectomy AV fistula: CT angiographic demonstration. EASTERN JOURNAL OF MEDICINE. 2013;15:108–110.
MLA Shaheen, Feroze et al. “Postdiskectomy AV Fistula: CT Angiographic Demonstration”. EASTERN JOURNAL OF MEDICINE, vol. 15, no. 3, 2013, pp. 108-10.
Vancouver Shaheen F, Gojwari T, Mir F, Hakim A. Postdiskectomy AV fistula: CT angiographic demonstration. EASTERN JOURNAL OF MEDICINE. 2013;15(3):108-10.