Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention.
Journal
Case reports in vascular medicine
ISSN: 2090-6986
Titre abrégé: Case Rep Vasc Med
Pays: United States
ID NLM: 101585357
Informations de publication
Date de publication:
2019
2019
Historique:
received:
30
06
2019
revised:
13
08
2019
accepted:
26
08
2019
entrez:
10
1
2020
pubmed:
10
1
2020
medline:
10
1
2020
Statut:
epublish
Résumé
To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation. A 59-year-old female suffering from a post-traumatic RAVF presented with tachycardia and increased cardiac output (CO). Doppler ultrasonography and computed tomography (CT) scan revealed a high-flow RAVF with multiple RVAs and unilateral critically reduced kidney function. Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation. No anti-platelet medication was administrated after the occlusion of the LRA. The patient's physical capacity improved since right heart volume strain was normalized, and CO was reduced. Transbrachial AVP II occlusion of the LRA is effective to occlude high-flow RAVFs to prevent risk of life-threatening RVA rupture. Additional follow-up is warranted to verify long-term effectiveness of this approach.
Identifiants
pubmed: 31915564
doi: 10.1155/2019/8530641
pmc: PMC6930724
doi:
Types de publication
Case Reports
Langues
eng
Pagination
8530641Informations de copyright
Copyright © 2019 Yae Hyun Rhee et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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