title: Percutaneous embolization of a postnephrectomy arteriovenous fistula with intervening pseudoaneurysm using the Amplatzer vascular plug 2.
abstract: Although renal arteriovenous fistula (AVF) is an uncommon condition, it may lead to high cardiac output heart failure and renal insufficiency. Recently, percutaneous transcatheter embolization has replaced traditional surgery as the first line of treatment. We report a case of a 68-year-old male who presented with a renal AVF and was treated by percutaneous transcatheter embolization using the Amplatzer Vascular Plug 2 (AVP 2; St Jude Medical, Plymouth, Minnesota) through an arterial access. To our knowledge, the use of AVP 2 device in the treatment of renal AVF as a single embolotherapy device through the transarterial route has not been previously reported in the literature. Our technique demonstrates the feasibility and safety of AVP 2 device in the treatment of renal AVF.
authors.affiliation: Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Ahmed Kamel
authors.initials: AK
authors.lastname: Abdel-Aal
authors.affiliation: Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA akamel@uabmc.edu.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Elsabbagh
authors.affiliation: Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Hesham
authors.initials: H
authors.lastname: Soliman
authors.affiliation: Department of Family Medicine, University of Alabama, Tuscaloosa, AL, USA.
authors.forename: Maysoon
authors.initials: M
authors.lastname: Hamed
authors.affiliation: Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Edgar
authors.initials: E
authors.lastname: Underwood
authors.affiliation: Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Souheil
authors.initials: S
authors.lastname: Saddekni
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects*; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Amplatzer Vascular Plug 2; coil embolization; embolotherapy; endovascular; percutaneous; postnephrectomy; pseudoaneurysm; renal arteriovenous fistula; transcatheter embolization