Successful interventional treatment of renal insufficiency caused by renal artery pseudoaneurysm with concomitant arteriovenous fistula.
Asymptomatic arteriovenous fistulae and pseudoaneurysms are common after renal biopsy. We present a patient with a single kidney and symptomatic pseudoaneurysm of the renal artery with concomitant arteriovenous fistula as a rare complication following surgical embolectomy. The patient developed renal insufficiency because of a significant degree of vascular steal caused by the fistula. Dialysis was performed for more than 6 months until the fistula was diagnosed. The fistula and the pseudoaneurysm were successfully treated by superselective arterial embolization with metallic coils. Renal function improved within the next 2 weeks and no further dialysis was necessary.
Barkhausen
J
J
Central Institute for Diagnostic Radiology, University Essen, Germany. joerg.barkhausen@uni-essen.de
Verhagen
R
R
Müller
R D
RD
D017541:Aneurysm, False / Q000150:complications* / Q000473:pathology; D001164:Arteriovenous Fistula / Q000150:complications* / Q000473:pathology; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D012077:Renal Artery / Q000473:pathology*; D012079:Renal Circulation; D051437:Renal Insufficiency / Q000209:etiology* / Q000628:therapy*