Coil Embolization of an Iatrogenic Arteriovenous Fistula between the Superior Mesenteric Artery and Vein: A Case Report

• Main Authors: Pezhman Farshidmehr, Mohammad Reza Zafarghandi, Alimohammad Sadat, Azadeh Sayarifard
• Format: Article
• Language: English
• Published: Tehran University of Medical Sciences 2019-01-01
• Series: Journal of Tehran University Heart Center
• Subjects: Arteriovenous fistula; Mesenteric artery; superior; Balloon occlusion
• Online Access: https://jthc.tums.ac.ir/index.php/jthc/article/view/945

Superior mesenteric arteriovenous fistulae are rare. A 32-year-old woman presented with abdominal pain. The angiography showed that the superior mesenteric vein was aneurysmal. The patient underwent coil embolization, during which a balloon catheter was inflated before the fistula for the protection of coil migration with a high blood flow. After the balloon inflation, one 8-mm and two 7-mm coils were deployed at the fistula site. The final angiography showed successful embolization with no visualization of the fistula and the aneurysmal vein.