Management of Renal Artery-Inferior Vena Cava Fistula Following Nephrectomy for Penetrating Trauma

2022 ◽  
pp. 153857442110686
Author(s):  
Alexander Mikhail ◽  
Hector Ferral ◽  
Alison A. Smith ◽  
Lance Stuke
Keyword(s):  
Inferior Vena Cava ◽  
Renal Artery ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Event ◽  
Penetrating Trauma ◽  
Non Invasive ◽  
Diagnostic Angiography ◽  
Trauma Case ◽  
The Right

Background: Renal artery to inferior vena cava fistula is a rare event postnephrectomy. We report a case of an adult male in whom a renal artery to inferior vena cava fistula was detected on non-invasive studies following nephrectomy for penetrating trauma. Case Report: A fistula between the right renal artery and inferior vena cava was confirmed with diagnostic angiography. The fistula was successfully embolized using microcoils. Discussion: This case highlights the importance of exploring retroperitoneal hematomas secondary to penetrating trauma.

scholarly journals Renal artery injury during inferior vena cava filter removal with endobronchial forceps

2019 ◽  
Vol 8 ◽  
pp. 204800401989351
Author(s):  
Carlos A Padula ◽  
Andrew R Lewis ◽  
Gregory T Frey ◽  
J Mark McKinney ◽  
Ricardo Paz-Fumagalli ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Renal Artery ◽  
Inferior Vena ◽  
Vena Cava ◽  
Arterial Injury ◽  
Artery Injury ◽  
Inferior Vena Cava Filters ◽  
Vena Cava Filters ◽  
Stent Graft Repair ◽  
The Right

Retrieval of tip-embedded inferior vena cava filters using endobronchial forceps is a well-described technique. The tip of dorsally tilted filters may be in proximity to the right renal artery, increasing the risk of arterial injury during retrieval. We present one case that illustrates renal artery injury requiring emergent stent graft repair. The three subsequent cases illustrate techniques that avoid renal artery injury using a femoral and jugular approach with the assistance of an arterial fiducial wire. Renal artery injury is a potential complication during retrieval of filters using endobronchial forceps that can be prevented with careful planning.

scholarly journals Clinical Insight into the Precaval Right Renal Artery: A Multidetector Row Computed Tomography Angiographic Study

ISRN Anatomy ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Shubha Srivastava ◽  
Indra Kumar ◽  
C. S. Ramesh Babu ◽  
K. K. Gupta ◽  
O. P. Gupta
Keyword(s):  
Computed Tomography ◽  
Inferior Vena Cava ◽  
Minimally Invasive ◽  
Renal Artery ◽  
Inferior Vena ◽  
Vena Cava ◽  
Multidetector Row Computed Tomography ◽  
Renal Vasculature ◽  
Multidetector Row ◽  
The Right

Variations of course and number of renal vessels are not so uncommon and their knowledge is important for planning of minimally invasive renal surgeries. The earlier literature reports a prevalence of precaval right renal artery between 0.8% and 5%. Normally, the right renal artery passes posterior to the inferior vena cava, but it can also be precaval where it passes anterior to inferior vena cava. The multidetector row contrast enhanced computed tomography angiography allows precise evaluation of renal vasculature. The aim of this retrospective study is to determine the prevalence of precaval right renal artery. Amongst 73 MDCT scans studied, we identified 4 cases of precaval right renal artery with the prevalence being 5.48%, more than what is reported in the earlier literature. We also report a single and dominant precaval right renal artery in one of the cases, which is a rare finding. On the basis of these results, we conclude that precaval right renal artery appears to be more common and so the knowledge of this variant holds a major clinical implication in preventing misinterpretation of radiological images and proper planning of interventional procedures and minimally invasive surgeries.

A Case Report of Arteriovenous Fistula between the Right Renal Artery and the Inferior Vena Cava

1987 ◽  
Vol 17 (3) ◽  
pp. 551
Author(s):  
Sang Jin Park ◽  
Seung Gwan Kim ◽  
Myung Ho Jeong ◽  
Young Geun Yoon ◽  
Jung Chaee Kang ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Renal Artery ◽  
Arteriovenous Fistula ◽  
Inferior Vena ◽  
Vena Cava ◽  
The Right

Hypertension Because of an Arteriovenous Fistula Between the Right Renal Artery and the Inferior Vena Cava Secondary To a Gunshot Wound: a Case Report

Angiology ◽  
1981 ◽  
Vol 32 (9) ◽  
pp. 648-652 ◽  
Author(s):  
A. Yüksel Bozer ◽  
Erkmen Böke ◽  
Ilhan Gnay ◽  
Sali Çaglar ◽  
Ayetkin Besim ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Renal Artery ◽  
Arteriovenous Fistula ◽  
Gunshot Wound ◽  
Inferior Vena ◽  
Vena Cava ◽  
The Right

scholarly journals Emphysematous pyelonephritis with air bubble in the inferior vena cava

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem
Keyword(s):  
Septic Shock ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Rare Presentation ◽  
Emphysematous Pyelonephritis ◽  
Case Presentation ◽  
Air Bubble ◽  
First Case ◽  
The Right

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.

Recanalization and Reconstruction of a Chronically Occluded Inferior Vena Cava Through an Existing Transjugular Intrahepatic Portosystemic Shunt in the Setting of Budd-Chiari Syndrome

2021 ◽  
pp. 153857442110020
Author(s):  
Reza Talaie ◽  
Hamed Jalaeian ◽  
Nassir Rostambeigi ◽  
Anthony Spano ◽  
Jafar Golzarian
Keyword(s):  
Inferior Vena Cava ◽  
Transjugular Intrahepatic Portosystemic Shunt ◽  
Inferior Vena ◽  
Vena Cava ◽  
Portosystemic Shunt ◽  
Hepatic Veins ◽  
Budd Chiari Syndrome ◽  
Chiari Syndrome ◽  
Intrahepatic Portosystemic Shunt ◽  
The Right

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.

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