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      Successful Interventional Treatment of Renal Insufficiency Caused by Renal Artery Pseudoaneurysm with Concomitant Arteriovenous Fistula

      , ,
      S. Karger AG
      Arteriovenous fistula, Superselective embolization, Pseudoaneurysm

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          Asymptomatic arteriovenous fistulae and pseudoaneurysms are common after renal biopsy. We present a patient with a single kidney and symptomatic pseudoaneurysm of the renal artery with concomitant arteriovenous fistula as a rare complication following surgical embolectomy. The patient developed renal insufficiency because of a significant degree of vascular steal caused by the fistula. Dialysis was performed for more than 6 months until the fistula was diagnosed. The fistula and the pseudoaneurysm were successfully treated by superselective arterial embolization with metallic coils. Renal function improved within the next 2 weeks and no further dialysis was necessary.

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          Life-Threatening Hematuria from an Arteriovenous Fistula Complicating an Open Renal Biopsy

          Arteriovenous fistulae and pseudoaneurysms are not rare after renal biopsy. The majority of these lesions (80%) are asymptomatic or show only transient symptoms. We present here a patient who developed life-threatening hematuria following an open renal biopsy. Arteriovenous fistula and pseudoaneurysm were detected in the biopsied kidney by color-coded Doppler sonography, confirmed by angiography, and the fistula was sealed by superselective arterial embolization with metallic coils. Color-coded Doppler sonography successfully detects the majority of arteriovenous fistulae after renal biopsy, and selective arterial embolization obviates the need for surgical intervention in most cases.
            • Record: found
            • Abstract: not found
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            A successful treatment of an intrarenal arteriovenous fistula by percutaneous embolization

            J Winkler (1991)

              Author and article information

              S. Karger AG
              August 2000
              28 July 2000
              : 85
              : 4
              : 351-353
              Central Institute for Diagnostic Radiology, University Essen, Germany
              45687 Nephron 2000;85:351–353
              © 2000 S. Karger AG, Basel

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              Page count
              Figures: 3, References: 11, Pages: 3
              Self URI (application/pdf): https://www.karger.com/Article/Pdf/45687
              Self URI (text/html): https://www.karger.com/Article/FullText/45687
              Self URI (journal page): https://www.karger.com/SubjectArea/Nephrology
              Case Report

              Cardiovascular Medicine,Nephrology
              Superselective embolization,Pseudoaneurysm,Arteriovenous fistula


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