The endovascular treatment of a renal arteriovenous fistula: Placement of a covered stent

Abstract A 64-year-old lady presented with a 6-month history of worsening unilateral leg swelling, with an audible bruit of the popliteal artery. Arterial duplex ultrasound confirmed the presence of an arteriovenous fistula (AVF) between the posterior tibial artery and vein. Upon thorough history, it was discovered that the patient had sustained a stab wound to this region some 25 years prior. The fistula was successfully managed endovascularly by means of a covered stent. This case highlights an unusual delayed presentation of an AVF and demonstrates the effectiveness of endovascular treatment of this condition.

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Anatomically Based Approach for Endovascular Treatment of Vertebro-Vertebral Arteriovenous Fistula

Interventional Neuroradiology ◽

10.15274/inr-2014-10072 ◽

2014 ◽

Vol 20 (6) ◽

pp. 766-773 ◽

Cited By ~ 13

Author(s):

Chih-Hua Yeh ◽

Yao-Liang Chen ◽

Yi-Ming Wu ◽

Yu-Chieh Huang ◽

Ho-Fai Wong

Keyword(s):

Endovascular Treatment ◽

Vertebral Artery ◽

Arteriovenous Fistula ◽

Covered Stent ◽

Treatment Modalities ◽

Covered Stents ◽

Vertebral Arteriovenous Fistula ◽

Fistula Recurrence ◽

Detachable Coils ◽

Extracranial Vertebral Artery

Vertebro-vertebral arteriovenous fistula (VV-AVF) is a rare vascular disorder with an abnormal high-flow shunt between the extracranial vertebral artery (VA), its muscular or radicular branches and an adjacent vein. To date, there are no guidelines on the best treatment for VV-AVF. We present our experience of VV-AVF treatment with covered stents in three patients and detachable coils in two patients. One patient with fistula at the V3 segment had rapid fistula recurrence one week after covered stent treatment. The possible causes of failed treatment in this patient are discussed. The currently available treatment modalities for VV-AVF are also summarized after a literature review. At the end of this article, we propose a new concept of anatomically based approach for endovascular treatment of VV-AVF. Fistula in the V1-2 segments of vertebral artery could be treated safely and effectively by covered stent with the benefit of preserving VA patency. Embolization with variable embolizers should be considered first for fistula in the V3 segment because of the tortuous course and flexibility of the VA in this segment.

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Endovascular Treatment of a Renal Arteriovenous Fistula

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2019.06.1178 ◽

2019 ◽

Vol 58 (6) ◽

pp. e498-e499

Author(s):

Luis A. Suarez Gonzalez ◽

Marta B. Velasco ◽

Pablo Del Canto Peruyera ◽

Manuel J. Vallina-Victorero Vázquez ◽

Laura G. Martin ◽

...

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Renal Arteriovenous Fistula

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Endovascular Treatment of a Giant Renal Vein Aneurysm Arising from a High-Flow Arteriovenous Fistula

Vascular and Endovascular Surgery ◽

10.1177/15385744211045608 ◽

2021 ◽

pp. 153857442110456

Author(s):

Serdar Kalemci ◽

Fuat Kizilay ◽

Kasim E. Ergun ◽

Emre Yurtseven ◽

Celal Cinar

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Renal Vein ◽

Aneurysm Rupture ◽

Technical Note ◽

Venous Hypertension ◽

High Flow ◽

Renal Arteriovenous Fistula ◽

Life Threatening

Background: Renal vein aneurysms (RVAs) are considered rare clinical entities. RVAs can be secondary to thrombosis, venous hypertension, or renal arteriovenous fistula (RAVF). RVAs secondary to RAVF are rare. Patients with RVA may present with hypertension, abdominal pain, hematuria, or may even be asymptomatic. However, there may be life-threatening emergencies including aneurysm rupture, thrombosis, and pulmonary embolism. The treatment of RVAs includes reconstruction of the renal vein, nephrectomy, and endovascular treatment. Purpose: In this technical note, we report the endovascular treatment of a giant RVA that developed secondary to an acquired RAVF by the placement of multiple vascular plugs. Conclusion: Endovascular occlusion of the RAVF with vascular plugs is effective to prevent a life-threatening rupture of RVA. Clinical follow-up is crucial to detect leakage or migration of the vascular plugs.

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Successful Endovascular Treatment with Covered Stent for Iatrogenic Vertebral Arteriovenous Fistula

Journal of Neuroendovascular Therapy ◽

10.5797/jnet.cr.2017-0006 ◽

2018 ◽

Vol 12 (1) ◽

pp. 29-37 ◽

Cited By ~ 2

Author(s):

Takuya Okata ◽

Akira Ishii ◽

Nobutake Sadamasa ◽

Yasutoshi Kai ◽

Ryota Ishibashi ◽

...

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Covered Stent ◽

Vertebral Arteriovenous Fistula

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Endovascular Treatment of Renal Arteriovenous Fistula with N-Butyl Cyanoacrylate (NBCA)

Polish Journal of Radiology ◽

10.12659/pjr.900106 ◽

2017 ◽

Vol 82 ◽

pp. 304-306 ◽

Cited By ~ 3

Author(s):

Ewa Kuklik ◽

Michał Sojka ◽

Klaudia Karska ◽

Maciej Szajner

Keyword(s):

Endovascular Treatment ◽

Arteriovenous Fistula ◽

Renal Arteriovenous Fistula

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Percutaneous embolization of renal arteriovenous fistula

VASA ◽

10.1024/0301-1526.34.3.207 ◽

2005 ◽

Vol 34 (3) ◽

pp. 207-210 ◽

Cited By ~ 2

Author(s):

Sendi ◽

Toia ◽

Nussbaumer

Keyword(s):

Heart Failure ◽

Arteriovenous Fistula ◽

Clinical Symptoms ◽

Rare Complication ◽

Abdominal Discomfort ◽

Renal Arteriovenous Fistula ◽

Percutaneous Embolization ◽

Arterial Access ◽

Number Of Publications ◽

Occluding Balloon

Acquired renal arteriovenous fistula is a rare complication following a nephrectomy and its diagnosis may be made many years after the intervention. The closure of the fistula is advisable in most cases, since it represents a risk for heart failure and rupture of the vessel. There are an increasing number of publications describing different techniques of occlusion. The case of a 70-year-old woman with abdominal discomfort due to a large renal arteriovenous fistula, 45 years after nephrectomy, is presented and current literature is reviewed. Percutaneous embolization was performed by placing an occluding balloon through the draining vein followed by the release of nine coils through arterial access. One day after successful occlusion of the fistula, clinical symptoms disappeared.

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