Iliac-enteric fistula managed by endovascular covered stent placement using extra-vascular microwire snaring: A case report Journal Article
| Authors: | Moussa, A. M.; Sofocleous, C. T. |
| Article Title: | Iliac-enteric fistula managed by endovascular covered stent placement using extra-vascular microwire snaring: A case report |
| Abstract: | Background: Although snaring technique is a commonly used tool in the interventional radiologists’ armamentarium, there are no reports of its use in an extra-vascular space to achieve access across a pseudoaneurysm that was otherwise non-traversable. Case presentation: We describe a case of an iliac-enteric fistula between a ruptured pseudoaneurysm of the external iliac artery and a surrounding contained colonic perforation, where access across the pseudoaneurysm was achieved only after snaring of the microwire from within the contained colonic perforation and back into the intra-vascular space, allowing the placement of a covered stent and control of the bleeding. Conclusions: The described technique may be useful in situations where other, more conventional, endovascular techniques fail to achieve access across the bleeding pseudoaneurysm. While it was life-saving in this case, this technique should only be used in very limited scenarios, specifically in the palliative setting and when surgical management is not an option. © 2020, The Author(s). |
| Keywords: | adult; clinical article; middle aged; antibiotic agent; cancer recurrence; case report; metastasis; dizziness; emergency ward; intensive care unit; interventional radiology; colon perforation; angiography; tachycardia; computed tomographic angiography; uterine cervix carcinoma; pelvis surgery; rectum hemorrhage; false aneurysm; vascular access; sigmoid; contrast medium extravasation; snare; pseudoaneurysm; intestine fistula; human; female; priority journal; article; patient history of radiotherapy; covered stent; extra-vascular; iliac-enteric fistula; aneurysm rupture; blood vessel fistula; do-not-resuscitate/do-not-intubate order; iliac artery aneurysm; iliac artery obstruction; iliac enteric fistula |
| Journal Title: | CVIR Endovascular |
| Volume: | 3 |
| ISSN: | 2520-8934 |
| Publisher: | Springer Nature |
| Date Published: | 2020-03-23 |
| Start Page: | 18 |
| Language: | English |
| DOI: | 10.1186/s42155-020-00109-2 |
| PROVIDER: | scopus |
| PMCID: | PMC7085988 |
| PUBMED: | 32201930 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 August 2022 -- Source: Scopus |
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