Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature

被引:2
|
作者
Pappas, Georgios M. [1 ]
Sfyroeras, George S. [1 ]
Krinos, Nikolaos T. [1 ]
Theodosopoulos, Ioannis T. [1 ]
Spiliopoulos, Stavros [2 ]
Brountzos, Elias N. [2 ]
Geroulakos, George [1 ]
机构
[1] Athens Univ, Sch Med, Attikon Univ Hosp, Dept Vasc Surg, Athens, Greece
[2] Natl & Kapodistrian Univ Athens, Div Intervent Radiol, Sch Med, Attikon Univ Gen Hosp,Dept Radiol 2, Athens, Greece
关键词
Endovascular treatment; renal artery aneurysm; renal arteriovenous fistula; TRANSARTERIAL EMBOLIZATION; MALFORMATION; RUPTURE;
D O I
10.1177/17085381211045207
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) has been infrequently reported in the literature. We report a case of a 42-year-old man suffering from a giant RAA combined with a congenital high-flow RAVF. The contrast-enhanced CTA showed a 12.7-cm RAA synchronous with an RAVF between the right renal artery and a draining vein. After a comprehensive preoperative assessment, an endovascular approach was decided. Successful embolization was performed using an Amplatzer vascular Plug, and multiple coils. Completion angiogram demonstrated no flow into the RAA. The results of longterm follow-up demonstrate that endovascular techniques are safe and effective for the management of RAAs combined with high-flow RAVF.
引用
收藏
页码:1080 / 1087
页数:8
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