title: Ureteroarterial fistula: A review of the literature.
abstract: Ureteroarterial fistulas are rare, erosive defects that occur between the distal segments of the ureter and the adjacent blood vessels in individuals with urologic and vascular comorbidities. Characterized by diffuse, pulsatile bleeding into the urinary tract, this condition carries a significant mortality rate in the absence of early recognition. Recent treatment efforts have focused on use of endovascular stenting techniques as an alternative to open surgical closure of the underlying defects in hemodynamically stable patients. We provide a literature review detailing the characteristics, mechanism, and management of ureteroarterial fistulas.
authors.affiliation: Department of Urology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
authors.forename: Akhil
authors.initials: A
authors.lastname: Das
authors.affiliation: Department of Urology, Thomas Jefferson University Hospital, Philadelphia, PA, USA patricia.Lewandoski@jefferson.edu.
authors.forename: Patricia
authors.initials: P
authors.lastname: Lewandoski
authors.affiliation: Department of Urology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
authors.forename: Dean
authors.initials: D
authors.lastname: Laganosky
authors.affiliation: Department of Urology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
authors.forename: John
authors.initials: J
authors.lastname: Walton
authors.affiliation: Department of Urology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Shenot
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D015897:Comorbidity; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006417:Hematuria / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D016157:Vascular Fistula / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D055815:Young Adult
keywords: Ureteroarterial fistula; arterioureteral fistula; hematuria; ilioureteral fistula; ureteroiliac fistula