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

• Published in: Indian journal of vascular and endovascular surgery Vol. 5; no. 1; pp. 63 - 65
• Main Authors: Pawar, Pranay, Sharma, Achintya, Raju, Radhakrishnan, Ayyappan, M
• Format: Journal Article
• Language: English
• Published: Medknow Publications and Media Pvt. Ltd 01-01-2018; Wolters Kluwer Medknow Publications
• Subjects: Care and treatment; CAT scans; Complications and side effects; Diagnosis; Endovascular approach; Fistulas; iatrogenic arteriovenous fistula; lumbar disc surgery; Spinal surgery
• ISSN: 0972-0820; 2394-0999
• DOI: 10.4103/ijves.ijves_69_17

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.