title: Occlusion of an intraluminal endovascular stent graft after treatment of a ureteral-iliac artery fistula.
abstract: 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.
authors.affiliation: Section of Vascular Surgery, Catholic Health Partners, Chicago, Illinois, USA.
authors.forename: Heron E
authors.initials: HE
authors.lastname: Rodriguez
authors.forename: Scott E
authors.initials: SE
authors.lastname: Eggener
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Podbielski
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Brown
authors.forename: Suresh
authors.initials: S
authors.lastname: Amble
authors.forename: Elizabeth T
authors.initials: ET
authors.lastname: Clark
authors.forename: Norm D
authors.initials: ND
authors.lastname: Smith
mesh_terms: 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