Twin pregnancy following endoluminal exclusion of an iliac arteriovenous fistula.

PURPOSE: To demonstrate the sustained efficacy of stent-graft exclusion of a pelvic arteriovenous fistula (AVF) in a woman who became pregnant after treatment.

CASE REPORT: An iatrogenic iliac arteriovenous fistula caused by redo surgery for a herniated disk in a 23-year-old woman was successfully treated with percutaneous endoluminal exclusion. Intravascular ultrasound was particularly useful for localization of the fistula during the procedure. The patient subsequently became pregnant, and serial Doppler studies were used to monitor the stent-graft until the uneventful delivery of twins by Caesarian section. At 36 months after endograft implantation, the patient has no complaints relative to the device.

CONCLUSIONS

Uncomplicated twin pregnancy following stent-graft repair of an AVF in the pelvis appears feasible.