Treatment of Complex, Combined Renal Artery Aneurysm and Renal Arteriovenous Fistula with Nephrectomy

Congenital renal artery aneurysm is uncommon. Moreover, renal artery aneurysm concomitant with a congenital renal arteriovenous fistula is extremely rare. Transarterial embolization is the first-line treatment for these conditions. We report a case of a patient with congenital renal artery aneurysm concomitant with a congenital renal arteriovenous fistula of the upper polar left renal artery which was successfully treated by transarterial embolization with coil, glue, and Amplatzer vascular plug.

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Spontaneous Renal Arteriovenous Fistula and Contralateral Renal Artery Aneurysm

British Journal of Radiology ◽

10.1259/0007-1285-35-410-128 ◽

1962 ◽

Vol 35 (410) ◽

pp. 128-130 ◽

Cited By ~ 18

Author(s):

R. Glyn Thomas ◽

S. Grieve ◽

B. Lewin

Keyword(s):

Renal Artery ◽

Arteriovenous Fistula ◽

Artery Aneurysm ◽

Renal Artery Aneurysm ◽

Renal Arteriovenous Fistula

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Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature

Vascular ◽

10.1177/17085381211045207 ◽

2021 ◽

pp. 170853812110452

Author(s):

Georgios M Pappas ◽

George S Sfyroeras ◽

Nikolaos T Krinos ◽

Ioannis T Theodosopoulos ◽

Stavros Spiliopoulos ◽

...

Keyword(s):

Renal Artery ◽

Arteriovenous Fistula ◽

Artery Aneurysm ◽

Preoperative Assessment ◽

High Flow ◽

Renal Artery Aneurysm ◽

Renal Arteriovenous Fistula ◽

Contrast Enhanced ◽

Endovascular Approach ◽

The Right

Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) has been infrequently reported in the literature. We report a case of a 42-year-old man suffering from a giant RAA combined with a congenital high-flow RAVF. The contrast-enhanced CTA showed a 12.7-cm RAA synchronous with an RAVF between the right renal artery and a draining vein. After a comprehensive preoperative assessment, an endovascular approach was decided. Successful embolization was performed using an Amplatzer vascular Plug, and multiple coils. Completion angiogram demonstrated no flow into the RAA. The results of longterm follow-up demonstrate that endovascular techniques are safe and effective for the management of RAAs combined with high-flow RAVF.

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Percutaneous intervention treatment of giant extrarenal aneurysm arteriovenous fistula

Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam ◽

10.47972/vjcts.v33i.561 ◽

2021 ◽

Vol 33 ◽

pp. 32-37

Author(s):

Nguyen The Huy ◽

Phan Thao Nguyen ◽

Tran Thuy Nguyen ◽

Le Ngoc Thanh

Keyword(s):

Renal Artery ◽

Arteriovenous Fistula ◽

Artery Aneurysm ◽

Percutaneous Intervention ◽

High Flow ◽

Renal Artery Aneurysm ◽

Gross Hematuria ◽

Renal Arteriovenous Fistula ◽

Intervention Treatment ◽

Rare Case Report

Objective: Anteriovenous fistula is a high-flow vascular malformation. Anteriovenous fistula is characterized by a direct connection between an artery and a vein without the presence of a nidus (network of arterial and venous channels). Renal artery aneurysm concomitant with a renal arteriovenous fistula is extremely rare. Case report: We reported the case of a 45-year-old female who has giant renal artery aneurysm combined with high-flow RAVF who presented with gross hematuria. The patient’s embolization of a giant extrarenal aneurism arteriovenous fistula was successfully treated using specialized coils and plug device. Conclusions: Renal arteriovenous fistula is a disease that can lead to serious complications. Treatment of this condition should be initiated promptly after diagnosis. Embolization endovascular is a feasible, efficient and safe method which can maximally retain normal renal function.

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