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Aneurysma spurium mit sekundärer AV-Fistel nach Nierenteilresektion

Diagnostik und Therapie

False aneurysm with secondary AV fistula after partial nephrectomy

Diagnosis and therapy

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Zusammenfassung

Bei steigender Zahl von Nierenteilresektionen werden postoperativ auch häufiger seltene iatrogene Gefäßmalformationen diagnostiziert. Im vorliegenden Fall kam es nach Nierenteilresektion mit kompliziertem Verlauf zur Ausbildung eines Aneurysmas mit sekundärer arteriovenöser (AV-)Fistel. Die raumfordernde Fistel fiel bei der beschwerdefreien Patientin in der sonographischen Nachsorge auf. Bei breitem Shunt mit hoher Flussrate wurde das Aneurysma schließlich offen chirurgisch versorgt.

Abstract

The increasing number of partial nephrectomies is accompanied by a higher incidence of rare iatrogenic vascular malformation. In the present case, an aneurysm with secondary arteriovenous (AV) fistula that developed after partial nephrectomy with a complicated course is described. The fistula was diagnosed during the sonographic follow-up in an asymptomatic patient. Due to the high flow rate of the shunt, the aneurysm was treated using open surgery.

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Literatur

  1. Albani JM, Novick AC (2003) Renal artery pseudoaneurysm after partial nephrectomy: three case reports and a literature review. Urology 62:227–231

    Article  PubMed  Google Scholar 

  2. Boss N (1999) Roche Lexikon Medizin, 4. Aufl. Urban & Fischer, München

  3. Ciudin A, Huguet J, Garcia-Larrosa A et al (2011) Delayed bleeding after partial nephrectomy. Management with selective embolization. Actas Urol Esp 35:615–619

    Article  CAS  PubMed  Google Scholar 

  4. Cohenpour M, Strauss S, Gottlieb P et al (2007) Pseudoaneurysm of the renal artery following partial nephrectomy: imaging findings and coil embolization. Clin Radiol 62:1104–1109

    Article  CAS  PubMed  Google Scholar 

  5. Ghoneim TP, Thornton RH, Solomon SB et al (2011) Selective arterial embolization for pseudoaneurysms and arteriovenous fistula of renal artery branches following partial nephrectomy. J Urol 185:2061–2065

    Article  PubMed  Google Scholar 

  6. Hyams ES, Pierorazio P, Proteek O et al (2011) Iatrogenic vascular lesions after minimally invasive partial nephrectomy: a multi-institutional study of clinical and renal functional outcomes. Urology 78:820–826

    Article  PubMed  Google Scholar 

  7. Inci K, Cil B, Yazici S et al (2010) Renal artery pseudoaneurysm: complication of minimally invasive kidney surgery. J Endurol 24:149–154

    Article  Google Scholar 

  8. Irwine C, Kay D, Kirsch D et al (2013) Renal artery embolization for the treatment of renal artery pseudoaneurysm following partial nephrectomy. Ochsner J 13:259–263

    PubMed Central  PubMed  Google Scholar 

  9. Jain S, Nyirenda T, Yates J et al (2013) Incidence of renal artery pseudoaneurysm following open and minimally invasive partial nephrectomy: a systematic review and comparative analysis. J Urol 189:1643–1648

    Article  PubMed  Google Scholar 

  10. Kruger K, Siakavara E (2012) Coil embolization for treatment of vascular complications after nephron-sparing surgery. Acta Radiol 53:551–555

    Article  PubMed  Google Scholar 

  11. Netsch C, Bruning R, Bach T et al (2010) Management of renal artery pseudoaneurysm after partial nephrectomy. World J Urol 28:519–524

    Article  CAS  PubMed  Google Scholar 

  12. Povo-Martin IJ, Gallego-Vilar D, Rodrigo-Aliaga M et al (2010) Renal artery pseudoaneurysm after partial nephrectomy. Diagnosis, treatment and literature review. Actas Urol Esp 34:647–651

    CAS  PubMed  Google Scholar 

  13. Uberoi J, Badwan KH, Wang DS (2007) Renal-artery pseudoaneurysm after laparoscopic partial nephrectomy. J Endurol 21:330–333

    Article  Google Scholar 

  14. Zani D, Arrighi N, Antonelli A et al (2008) Renal cell carcinoma associated with incidental presentation of renal artery aneurysm: surgical management. Urologia 75:241–244

    PubMed  Google Scholar 

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Einhaltung ethischer Richtlinien

Interessenkonflikt. S. Tietze, J. Peruth, J. Krause, A. Hamza geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Urologie und Andrologie, Klinikum St. Georg gGmbH, Delitzscher Straße 141, 04129, Leipzig, Deutschland

    S. Tietze, J. Peruth, J. Krause & A. Hamza

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  1. S. Tietze
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  2. J. Peruth
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  3. J. Krause
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  4. A. Hamza
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Correspondence to S. Tietze.

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Tietze, S., Peruth, J., Krause, J. et al. Aneurysma spurium mit sekundärer AV-Fistel nach Nierenteilresektion. Urologe 53, 1358–1361 (2014). https://doi.org/10.1007/s00120-014-3468-6

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  • DOI: https://doi.org/10.1007/s00120-014-3468-6

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