Embolization of renal artery aneurysm and arteriovenous fistula-a case report.
A renal artery aneurysm with an associated arteriovenous fistula in a native kidney has been reported infrequently in the literature. Management depends on size, location, and the patient's physiological condition. We describe a case in which endovascular therapy was used to successfully exclude both aneurysm and fistula. This report describes a 13-centimeter renal artery aneurysm with arteriovenous fistula originating from an isolated branch of the renal artery. Coil-embolization resulted in thrombosis of the aneurysm and fistula while preserving parenchymal perfusion. Coil embolization is an alternative to surgery for coexistent renal artery aneurysm and arteriovenous fistula arising from a branch of adequate length for placement of embolic coils. Successful treatment is not limited by aneurysm size or presence of arteriovenous connection.
Trocciola
Susan M
SM
Division of Vascular Surgery, New York Presbyterian Hospital, Weill Medical College of Cornell University and College of Physicians and Surgeons of Columbia University, New York, NY 10021, USA.
Chaer
Rabih A
RA
Lin
Stephanie C
SC
Dayal
Rajeev
R
Scherer
Matthew
M
Garner
Matthew
M
Coll
Deidre
D
Kent
K Craig
KC
Faries
Peter L
PL
D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D000792:Angiography; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D035583:Rare Diseases; D012077:Renal Artery; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome