Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach

Aortoiliac vascular injury during lumbar disc surgery is potentially life-threatening, but occasionally presents with delayed-onset symptoms. This is a case report of a fistulized pseudoaneurysm presenting with claudication. A 73-year-old female presented with swelling of the left leg and short-dist...

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Main Authors: Nikolaos Galanakis, Nikolaos Kontopodis, Elias Kehagias, Nikolaos Daskalakis, Christos V. Ioannou, Dimitrios Tsetis
Format: Article
Language:English
Published: Medrang 2021-09-01
Series:Vascular Specialist International
Online Access:https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210053
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author Nikolaos Galanakis
Nikolaos Kontopodis
Elias Kehagias
Nikolaos Daskalakis
Christos V. Ioannou
Dimitrios Tsetis
author_facet Nikolaos Galanakis
Nikolaos Kontopodis
Elias Kehagias
Nikolaos Daskalakis
Christos V. Ioannou
Dimitrios Tsetis
author_sort Nikolaos Galanakis
collection DOAJ
description Aortoiliac vascular injury during lumbar disc surgery is potentially life-threatening, but occasionally presents with delayed-onset symptoms. This is a case report of a fistulized pseudoaneurysm presenting with claudication. A 73-year-old female presented with swelling of the left leg and short-distance claudication. Two months prior, she had undergone discectomy for the management of right foot drop caused by an L4-L5 herniated lumbar disc. The left ankle-brachial index was 0.71. Computed tomography angiography revealed a 31 mm×20 mm pseudoaneurysm of the left common iliac artery fistulized to the left common iliac vein. The patient was successfully treated with stent graft placement.
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spelling doaj.art-7121e04496014fbeaa3e3f86ffb5f5b32023-01-06T01:29:49ZengMedrangVascular Specialist International2288-79702288-79892021-09-013710.5758/vsi.210053vsi.210053Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal ApproachNikolaos Galanakis0Nikolaos Kontopodis1Elias Kehagias2Nikolaos Daskalakis3Christos V. Ioannou4Dimitrios Tsetis5Interventional Radiology Unit, Department of Medical Imaging, University Hospital of Heraklion, University of Crete Medical School, Heraklion, GreeceVascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Heraklion, GreeceInterventional Radiology Unit, Department of Medical Imaging, University Hospital of Heraklion, University of Crete Medical School, Heraklion, GreeceVascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Heraklion, GreeceVascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Heraklion, GreeceInterventional Radiology Unit, Department of Medical Imaging, University Hospital of Heraklion, University of Crete Medical School, Heraklion, GreeceAortoiliac vascular injury during lumbar disc surgery is potentially life-threatening, but occasionally presents with delayed-onset symptoms. This is a case report of a fistulized pseudoaneurysm presenting with claudication. A 73-year-old female presented with swelling of the left leg and short-distance claudication. Two months prior, she had undergone discectomy for the management of right foot drop caused by an L4-L5 herniated lumbar disc. The left ankle-brachial index was 0.71. Computed tomography angiography revealed a 31 mm×20 mm pseudoaneurysm of the left common iliac artery fistulized to the left common iliac vein. The patient was successfully treated with stent graft placement.https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210053
spellingShingle Nikolaos Galanakis
Nikolaos Kontopodis
Elias Kehagias
Nikolaos Daskalakis
Christos V. Ioannou
Dimitrios Tsetis
Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach
Vascular Specialist International
title Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach
title_full Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach
title_fullStr Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach
title_full_unstemmed Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach
title_short Endovascular Recanalization of an Infrarenal Aortoiliac Occlusion Using a Combined Bilateral Subintimal Approach
title_sort endovascular recanalization of an infrarenal aortoiliac occlusion using a combined bilateral subintimal approach
url https://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.210053
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