Successful repair of an arteriovesical fistula as a complication after coil embolization for right hypogastric artery aneurysm

Jackie Zhang, MD; Rafael Santini Dominguez, MD; Sunny Sahajwani, MD; Michael Phelan, MD; John Karwowski, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2020)

Successful repair of an arteriovesical fistula as a complication after coil embolization for right hypogastric artery aneurysm

Jackie Zhang, MD,
Rafael Santini Dominguez, MD,
Sunny Sahajwani, MD,
Michael Phelan, MD,
John Karwowski, MD

Affiliations

Jackie Zhang, MD: Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, Md; Correspondence: Jackie Zhang, MD, Department of Surgery, University of Maryland Medical Center, 22 South Greene St, Baltimore, MD 21201
Rafael Santini Dominguez, MD: Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, Md
Sunny Sahajwani, MD: Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, Md
Michael Phelan, MD: Division of Urology, University of Maryland Medical Center, Baltimore, Md
John Karwowski, MD: Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, Md

Journal volume & issue: Vol. 6, no. 4
pp. 585 – 587

Abstract

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An 84-year-old man has a history of a right hypogastric artery aneurysm that was excluded with endograft several years ago. His course was complicated by a type II endoleak with an enlarging aneurysm that required multiple attempts of coil embolization. Several years later, he presented with gross hematuria and was found to have embolization coils extruding into his bladder and an arteriovesical fistula. As seen in this case, endovascular intervention for a type II endoleak is not benign. We describe a novel complication of an arteriovesical fistula that necessitated a difficult repair and ultimate revascularization.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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