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Embolization of Renal Artery Aneurysm and Arteriovenous Fistula: A Case Report

A renal artery aneurysm with an associated arteriovenous fistula in a native kidney has been reported infrequently in the literature. Management depends on size, location, and the patient's physiological condition. We describe a case in which endovascular therapy was used to successfully exclud...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2005-11, Vol.39 (6), p.525-529
Main Authors: Trocciola, Susan M., Chaer, Rabih A., Lin, Stephanie C., Dayal, Rajeev, Scherer, Matthew, Garner, Matthew, Coll, Deidre, Kent, K. Craig, Faries, Peter L.
Format: Article
Language:English
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Summary:A renal artery aneurysm with an associated arteriovenous fistula in a native kidney has been reported infrequently in the literature. Management depends on size, location, and the patient's physiological condition. We describe a case in which endovascular therapy was used to successfully exclude both aneurysm and fistula. This report describes a 13-centimeter renal artery aneurysm with arteriovenous fistula originating from an isolated branch of the renal artery. Coil-embolization resulted in thrombosis of the aneurysm and fistula while preserving parenchymal perfusion. Coil embolization is an alternative to surgery for coexistent renal artery aneurysm and arteriovenous fistula arising from a branch of adequate length for placement of embolic coils. Successful treatment is not limited by aneurysm size or presence of arteriovenous connection.
ISSN:1538-5744
1938-9116
DOI:10.1177/153857440503900610