Occlusion of an intraluminal endovascular stent graft after treatment of a ureteral-iliac artery fistula.
Ureteral-arterial fistulas are rare causes of intermittent and often massive hematuria. We report the case of a patient presenting with massive hematuria and shock caused by a ureteral-iliac fistula initially treated with a covered endovascular stent graft. Eight months after deployment, the stent occluded, and the patient required a femoral-femoral bypass. This is the first known case of endovascular stent graft occlusion when used for this purpose.
Rodriguez
Heron E
HE
Section of Vascular Surgery, Catholic Health Partners, Chicago, Illinois, USA.
Eggener
Scott E
SE
Podbielski
Francis J
FJ
Brown
Andrew M
AM
Amble
Suresh
S
Clark
Elizabeth T
ET
Smith
Norm D
ND
D005260:Female; D006417:Hematuria / Q000209:etiology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000601:surgery; D012769:Shock / Q000209:etiology / Q000601:surgery; D015607:Stents; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery; D016157:Vascular Fistula / Q000209:etiology / Q000601:surgery* / Q000628:therapy