Endovascular treatment of ureteroarterial fistulas with stent-grafts.
Ureteroarterial fistula is a rare condition with life-threatening hematuria that should be diagnosed and treated immediately. We reported two patients of ureteroarterial fistula who underwent successful endovascular treatment by stent-grafts. They had undergone pelvic surgery followed by placement of an indwelling ureteral stent for stricture of the ureter before sudden hematuria occurred. Routine contrast-enhanced computed tomography did not reveal extravasation or a pseudo-aneurysm. Angiograms with multiple oblique views demonstrated small pseudoaneurysms of the iliac artery overriding the ipsilateral ureter. The endovascular treatment of ureteroarterial fistula using stent-grafts was successful, and the hematuria disappeared immediately after stent-graft deployment. The hematuria did not recur up to the last follow-up visits of 3 and 19 months, respectively.
Araki
Takuji
T
Department of Radiology, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo 409-3898, Japan. taraki@yamanashi.ac.jp
Nagata
Motonori
M
Araki
Tsutomu
T
Takihana
Yoshio
Y
Takeda
Masayuki
M
D000368:Aged; D017541:Aneurysm, False / Q000209:etiology; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007083:Iliac Artery; D008297:Male; D015607:Stents; D014515:Ureteral Diseases / Q000150:complications / Q000628:therapy*; D014548:Urinary Fistula / Q000150:complications / Q000628:therapy*; D016157:Vascular Fistula / Q000150:complications / Q000628:therapy*