Ureteroarterial Fistulas: Diagnosis, Management, and Clinical Evolution
| Autor: | Paloma Sanchis, Raúl Lara-Hernández, Ramón Riera Vázquez, Noé Benabarre Castany, Pascual Lozano Vilardell |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Computed Tomography Angiography Urinary Fistula medicine.medical_treatment 030232 urology & nephrology MEDLINE 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Fatal Outcome Risk Factors medicine Humans Ureteral Diseases Embolization Computed tomography angiography Aged Hematuria Vascular Fistula medicine.diagnostic_test business.industry Incidence (epidemiology) Endovascular Procedures Stent General Medicine Middle Aged Surgery medicine.anatomical_structure Treatment Outcome Bypass surgery Spain Female Cardiology and Cardiovascular Medicine Complication business Vascular Surgical Procedures Artery |
| Zdroj: | Annals of vascular surgery. 44 |
| ISSN: | 1615-5947 |
| Popis: | Background Ureteroarterial fistulas (UAFs) have a low incidence but are a potentially fatal cause of hematuria. Initially treated by open surgery, endovascular techniques have decreased potential complications. Material and Methods We present a short series of UAFs ( n = 5) treated in our institution in the last 10 years: 1 case showed up after aorta-iliac bypass surgery, 1 case after endovascular aortic repair and embolization of right hypogastric artery, and 3 cases after oncological surgeries. We review the published literature via PubMed. Results The different approaches (2 open and 3 endovascular procedures) were based on the clinical situation of the patients and on technical limitations. Three patients died after the procedure (2 after open surgery and 1 after endovascular treatment). In our institution, endovascular treatment showed good results in terms of early complications and associated mortality compared with open surgery. Conclusions UAF is a rare but a potentially fatal complication in patients with predisposing factors. No long-term follow-up has been published to assess the possible complications arising from the technique, such as prosthetic infection. No antibiotic treatment protocols have been established, so long-term follow-up is necessary to determine late complications. |
| Databáze: | OpenAIRE |
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