Angiographic arterial occlusion and extra-anatomical vascular bypass for the management of a ureteral-iliac fistula: case report and review of the literature.
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.
Gheiler
E L
EL
Department of Urology, Wayne State University, School of Medicine, and Barbara Ann Karmanos Cancer Center Institute, Detroit, Mich., USA.
Tefilli
M V
MV
Tiguert
R
R
Friedland
M S
MS
Frontera
R C
RC
Pontes
J E
JE
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*