Pelvic Arteriovenous Fistulas: Therapeutic Strategy in Five Cases

• Published in: Annals of vascular surgery Vol. 4; no. 1; pp. 1 - 9
• Main Authors: Laurian, Claude, Leclef, Yvan, Gigou, Fréderic, Alzaoubi, Issa, Riche, Marie-Claude, Melki, Jean-Pierre, Cormier, Jean-Michel
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 1990
• Subjects: Adult; Aged; Aneurysm - diagnostic imaging; Aneurysm - surgery; Arteriovenous Malformations - diagnostic imaging; Arteriovenous Malformations - surgery; congenital arteriovenous malformation; Embolization, Therapeutic; Female; Humans; hypogastric artery; Iliac Artery; Iliac Vein; interventional arteriography; Ligation; Male; Middle Aged; Pelvic arteriovenous fistula; Pelvis - blood supply; Preoperative Care; Radiography; therapeutic embolization; traumatic arteriovenous fistula; therapeutic embolization; Pelvic arteriovenous fistula; congenital arteriovenous malformation; hypogastric artery; interventional arteriography; traumatic arteriovenous fistula
• ISSN: 0890-5096; 1615-5947
• DOI: 10.1007/BF02042680

Pelvic arteriovenous fistulas are rare. They may be defined as arteriovenous communications developing in the pelvis from the internal iliac artery, the origin of its posterior trunk or branches of its anterior trunk. Congenital arteriovenous malformations, more common in women, and posttraumatic arteriovenous fistulas are the two main etiological forms. Diagnostic problems include appreciation of visceral extension in arteriovenous malformations and precise localization of fistulas especially when they affect the internal iliac artery itself. Therapy is aimed at complete closure of arteriovenous communications using interventional radiologic methods or surgery. Although indications are difficult to assess, complete, one-stage therapy is preferable due to surgical difficulties following failed or incomplete radiological or surgical attempts.