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Journal-CVS. 2015; 3(1): 22-24

Arterio-enteric fistula between iliac artery and cecum as an endograft complication

Gentian Caco, Henri Kolani, Alfred Ibrahimi, Edmond Kapedani.

Endovascular treatment of aneurysms and pseudoaneurysms is more frequently employed in emergent situations since it is less invasive and has lower morbidity. Although it has excellent immediate results in regard to patency and sealing of the aneurysm, long term follow up is advised due to the risk of endoleak or graft migration. Arterio-enteric fistulas are less commonly encountered complications following endovascular procedures mostly between aorta and duodenum. Here, we present a late arterio-enteric fistula in the cecum following an endovascular repair of a pseudoaneurysm in iliac position accompanied with arterio-ureteral fistula. The patient was successfully treated by surgical approach.

Key words: Digestive system fistula; intestinal perforation; endovascular procedures

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