Embolization of iatrogenic renal arteriovenous fistula – a case report
Autor: | Krzysztof Pyra, Maria Tsitskari, Jan Sobstyl, Tomasz Jargiełło, Małgorzata Szczerbo-Trojanowska, Łukasz Światłowski, Ewa Kuklik, Anna Drelich-Zbroja, Maryla Kuczyńska |
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Rok vydání: | 2018 |
Předmět: |
kidney
medicine.medical_specialty lcsh:Medical technology Fistula medicine.medical_treatment 030232 urology & nephrology Arteriovenous fistula 030218 nuclear medicine & medical imaging 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine Aneurysm medicine.artery medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Embolization Microhematuria Renal artery arteriovenous fistula lcsh:R5-920 Kidney treatment Radiological and Ultrasound Technology business.industry pseudoaneurysm medicine.disease medicine.icd_9_cm_classification medicine.anatomical_structure lcsh:R855-855.5 cardiovascular system Medicine Radiology lcsh:Medicine (General) business |
Zdroj: | Journal of Ultrasonography, Vol 18, Iss 73, Pp 170-173 (2018) Journal of Ultrasonography |
ISSN: | 2451-070X 2084-8404 |
DOI: | 10.15557/jou.2018.0026 |
Popis: | Renal artery pseudoaneurysms and arteriovenous fistulae most often occur as an iatrogenic complication. The article discusses a case of a patient diagnosed with an arteriovenous fistula and a pseudoaneurysm. A 64-year-old woman was admitted to the hospital due to nonspecific pain in the lumbar region. Imaging showed a typical picture of clear cell renal carcinoma. The patient was qualified for surgical treatment. After tumor resection, the patient developed microhematuria. Arteriovenous fistula and renal pseudoaneurysm were diagnosed using Doppler and computed tomography scans. The patient was qualified for arteriography with simultaneous embolization of the lesion. A follow-up evaluation confirmed the exclusion of aneurysm and fistula. Treatment outcomes were monitored using Doppler ultrasound. Doppler ultrasonography is the first method of choice in detecting and monitoring renal artery irregularities. Safety, non-invasiveness and easy access to this tool make it play a key role in the diagnosis of renal artery fistulas and pseudoaneurysms. |
Databáze: | OpenAIRE |
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