Successful repair of an arteriovesical fistula as a complication after coil embolization for right hypogastric artery aneurysm

• Main Authors: Jackie Zhang, MD, Rafael Santini Dominguez, MD, Sunny Sahajwani, MD, Michael Phelan, MD, John Karwowski, MD
• Format: Article
• Language: English
• Published: Elsevier 2020-12-01
• Series: Journal of Vascular Surgery Cases and Innovative Techniques
• Subjects: Iliac aneurysm; Endoleak; Postoperative complication; Vascular grafting; Urinary bladder fistula
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428720301210
• ISSN: 2468-4287

An 84-year-old man has a history of a right hypogastric artery aneurysm that was excluded with endograft several years ago. His course was complicated by a type II endoleak with an enlarging aneurysm that required multiple attempts of coil embolization. Several years later, he presented with gross hematuria and was found to have embolization coils extruding into his bladder and an arteriovesical fistula. As seen in this case, endovascular intervention for a type II endoleak is not benign. We describe a novel complication of an arteriovesical fistula that necessitated a difficult repair and ultimate revascularization.