Recanalization of the Left Common Iliac Vein for May–Thurner Syndrome Associated with Arteriovenous Fistula  H. Yuan, J. Sun, H.T. Qi, X. Jin, X.J. Wu 

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Recanalization of the Left Common Iliac Vein for May–Thurner Syndrome Associated with Arteriovenous Fistula  H. Yuan, J. Sun, H.T. Qi, X. Jin, X.J. Wu  EJVES Short Reports   Volume 29, Pages 3-7 (January 2015) DOI: 10.1016/j.ejvssr.2015.09.001 Copyright © 2015 The Authors Terms and Conditions

Figure 1 (A) Pre-operative ultrasound examination: arteriovenous fistulae (AVFs) between left external iliac artery and vein. (B) Pre-operative computed tomography angiography (CTA): the left common iliac vein was occluded (blue arrow), the left internal and external iliac vein, right common and external iliac vein, as well as the superficial hypogastric vein shown at the early arterial phase (yellow arrow). (C) Pre-operative CTA: the left common iliac vein was found to be occluded as a result of simultaneous compression by the lumbosacral vertebrae (yellow arrow) and the right common iliac artery (blue arrow). (D) Arteriography: multiple small AVFs displayed in the left internal iliac artery, external artery, and femoral artery (blue arrow). (E) Arteriography: the left external iliac vein, suprapubic varicose veins, and great saphenous vein shown in the early arterial phase. (F) Venography via the left femoral vein: the left common iliac vein occluded and the contrast medium flowed into the right iliac vein through the suprapubic vein. EJVES Short Reports  2015 29, 3-7DOI: (10.1016/j.ejvssr.2015.09.001) Copyright © 2015 The Authors Terms and Conditions

Figure 2 (A) Venography after stenting: the left iliac vein was patent. (B) Arteriography after stenting: the multiple small arteriovenous fistulae (AVFs) had reduced significantly. The suprapubic veins, right iliac vein, and left great saphenous vein were not visible in the arterial phase. (C) The post-operative ultrasound at the end of third month showed that the AVF had disappeared. LEIA = left external iliac artery; LEIV = left external iliac vein. EJVES Short Reports  2015 29, 3-7DOI: (10.1016/j.ejvssr.2015.09.001) Copyright © 2015 The Authors Terms and Conditions