Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
Joint Authors
Rhee, Yae Hyun
Busch, Lucas
Sansone, Roberto
Ertas, Neslihan
Floros, Nikolaos
Schelzig, Hubert
Mulorz, Joscha
Wagenhäuser, Markus Udo
Source
Case Reports in Vascular Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-31
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation.
Case Report.
A 59-year-old female suffering from a post-traumatic RAVF presented with tachycardia and increased cardiac output (CO).
Doppler ultrasonography and computed tomography (CT) scan revealed a high-flow RAVF with multiple RVAs and unilateral critically reduced kidney function.
Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation.
No anti-platelet medication was administrated after the occlusion of the LRA.
The patient’s physical capacity improved since right heart volume strain was normalized, and CO was reduced.
Conclusion.
Transbrachial AVP II occlusion of the LRA is effective to occlude high-flow RAVFs to prevent risk of life-threatening RVA rupture.
Additional follow-up is warranted to verify long-term effectiveness of this approach.
American Psychological Association (APA)
Rhee, Yae Hyun& Busch, Lucas& Sansone, Roberto& Ertas, Neslihan& Floros, Nikolaos& Schelzig, Hubert…[et al.]. 2019. Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention. Case Reports in Vascular Medicine،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1145576
Modern Language Association (MLA)
Rhee, Yae Hyun…[et al.]. Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention. Case Reports in Vascular Medicine No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1145576
American Medical Association (AMA)
Rhee, Yae Hyun& Busch, Lucas& Sansone, Roberto& Ertas, Neslihan& Floros, Nikolaos& Schelzig, Hubert…[et al.]. Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention. Case Reports in Vascular Medicine. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1145576
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145576