CASE REPORT
Year : 2018  |  Volume : 5  |  Issue : 1  |  Page : 63-65

Iatrogenic arteriovenous fistula after lumbar disc surgery: Case reports and review of literature


1 Department of Vascular Surgery, Sri Ramachandra Medical Centre, Chennai, Tamil Nadu, India
2 Sri Ramachandra Medical Centre, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Pranay Pawar
Department of Vascular Surgery, Sri Ramachandra Medical Centre, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_69_17

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Iatrogenic arteriovenous fistulas (AVF) after intervertebral disc surgery are rare. The presentation can be varied from potentially fatal to those, which present years after the index surgery with features of, deep vein thrombosis, leg edema, and cardiac failure. The history and physical findings can be indicative of an AVF and the diagnosis is confirmed by computed tomography (CT) CT angiogram (CTA) or digital subtraction angiogram (DSA). Open surgery and endovascular approach can be both used for the treatment of this condition, both with good results, although the endovascular approach is associated with minimal morbidity.


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