A case of external iliac arteriovenous fistula and high-output cardiac failure after endovenous laser treatment of great saphenous vein

Scott J. Ziporin, Catherine K. Ifune, Malcolm P. MacConmara, Patrick J. Geraghty, Eric T. Choi

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Valvular incompetence in the great saphenous vein (GSV) is the most common cause of superficial venous insufficiency and symptomatic varicose vein development. Recently, less invasive modalities such as foam sclerotherapy, radiofrequency ablation (RFA), and endovenous laser treatment (EVLT) have gained popularity in the treatment of saphenofemoral junction and saphenous truncal incompetence over the traditional approach of surgical ligation and stripping. Here, we present the case of a 32-year-old woman who underwent EVLT and was diagnosed subsequently with ipsilateral external iliac arteriovenous (AV) fistula and high-output cardiac failure. She was stabilized medically and treated surgically with a covered stent placed in the external iliac artery with complete resolution of the fistula and cardiac failure. We reviewed the literature and discuss the complications of AV fistulae after EVLT.

Original languageEnglish (US)
Pages (from-to)715-719
Number of pages5
JournalJournal of Vascular Surgery
Volume51
Issue number3
DOIs
StatePublished - Mar 2010

Fingerprint

Arteriovenous Fistula
Saphenous Vein
Lasers
Heart Failure
Venous Insufficiency
Sclerotherapy
Iliac Artery
Varicose Veins
Laser Therapy
Therapeutics
Fistula
Stents
Ligation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

A case of external iliac arteriovenous fistula and high-output cardiac failure after endovenous laser treatment of great saphenous vein. / Ziporin, Scott J.; Ifune, Catherine K.; MacConmara, Malcolm P.; Geraghty, Patrick J.; Choi, Eric T.

In: Journal of Vascular Surgery, Vol. 51, No. 3, 03.2010, p. 715-719.

Research output: Contribution to journalArticle

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