title: Angiographic arterial occlusion and extra-anatomical vascular bypass for the management of a ureteral-iliac fistula: case report and review of the literature.
abstract: Ureteroarterial fistulas related to nonvascular etiology are rare clinical entities that are difficult to diagnose and manage. Diagnosis is best made by a combination of studies, including digital subtraction angiography. Low morbidity and mortality rates have been described with either percutaneous thrombosis of the iliac artery and extra-anatomic bypass, or by placement of a stented graft in the involved artery. We report on a well-documented case of a ureteroarterial fistula managed successfully with interventional radiologic embolization of the common iliac artery and immediate femoral-femoral arterial bypass. A review of the literature supports this approach.
authors.affiliation: Department of Urology, Wayne State University, School of Medicine, and Barbara Ann Karmanos Cancer Center Institute, Detroit, Mich., USA.
authors.forename: E L
authors.initials: EL
authors.lastname: Gheiler
authors.forename: M V
authors.initials: MV
authors.lastname: Tefilli
authors.forename: R
authors.initials: R
authors.lastname: Tiguert
authors.forename: M S
authors.initials: MS
authors.lastname: Friedland
authors.forename: R C
authors.initials: RC
authors.lastname: Frontera
authors.forename: J E
authors.initials: JE
authors.lastname: Pontes
mesh_terms: D000792:Angiography; D004621:Embolization, Therapeutic; D005263:Femoral Artery / Q000601:surgery; D005402:Fistula / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014515:Ureteral Diseases / Q000628:therapy*