Document Detail


Arterio-venous fistula following a lumbar disc surgery.
MedLine Citation:
PMID:  22144752     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Vascular complications during posterior lumbar disc surgery are rare and its presentation with varicose veins is even rarer. A 23 year-old male patient presented with large varicose veins in right lower limb. He underwent a posterior lumbar spine discectomy surgery. He noticed mild swelling of the distal third right lower limb 3 months after index surgery and reported 6 months later when he developed varicose veins. Duplex Doppler confirmed varicose veins of the long saphenous vein and its tributaries with a patent deep venous system. A digital subtraction angiogram demonstrated a large right common iliac artery (CIA) false aneurysm with an arteriovenous fistula between right common iliac vessels. He had a right CIA covered stent insertion with good results. Varicose veins were later managed with sapheno-femoral junction ligation and a below knee long saphenous vein stripping. At six month follow-up the lower limb swelling had completely recovered and duplex ultrasound did not show any recurrence of varicose veins.
Authors:
Thanyani V Mulaudzi; Mbokeleng H Sikhosana
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of orthopaedics     Volume:  45     ISSN:  1998-3727     ISO Abbreviation:  Indian J Orthop     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-12-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0137736     Medline TA:  Indian J Orthop     Country:  India    
Other Details:
Languages:  eng     Pagination:  563-4     Citation Subset:  -    
Affiliation:
Medi-Clinic Unit of Peripheral Vascular Disease, Department of General Surgery, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa.
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