Abstract
Renal arteriovenous fistula (AVF) presents a rare but important condition that can be acquired, congenital, or idiopathic. Embolization techniques have recently been considered the first-line therapy in the treatment of these lesions, but they carry a possible high risk of distal migration of embolic agents into the venous and pulmonary circulation. This risk is especially important with large, high-flow fistulas. In this report, we present a case in which a 31-year-old man with a symptomatic idiopathic AVF was treated with embolization using the Amplatzer vascular plug II after unsuccessful superselective embolization using coils. This method allowed for complete occlusion of the high-flow fistula with good preservation of arterial supply to the renal parenchyma.
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References
Giavroglou CE, Farmakis TM, Kiskinis D (2005) Idiopathic renal arteriovenous fistula treated by transcatheter embolization. Acta Radiol 46(4):368–370
Campbell JE, Davis C, Defade BP, Tierney JP, Stone PA (2009) Use of an Amplatzer vascular plug for transcatheter embolization of a renal arteriovenous fistula. Vascular 17(1):40–43
Lupattelli T, Garaci FG, Manenti G, Belli AM, Simonetti G (2003) Giant high-flow renal arteriovenous fistula treated by percutaneous embolization. Urology 61(4):837
Brountzos EN, Ptohis N, Grammenou-Pomoni M, Panagiotou I, Kelekis D, Gouliamos A, Kelekis N (2009) High-flow renal arteriovenous fistula treated with the Amplatzer vascular plug: implementation of an arterial and venous approach. Cardiovasc Intervent Radiol 32(3):543–547
Idowu O, Barodawala F, Nemeth A, Trerotola SO (2007) Dualuse of an Amplatzer device in the transcatheter embolization of a large high-flow renal arteriovenous fistula. J Vasc Interv Radiol 18(5):671–676
Shih CH, Liang PC, Chiang FT, Tseng CD, Tseng YZ, Hsu KL (2010) Transcatheter embolization of a huge renal arteriovenous fistula with Amplatzer vascular plug. Heart Vessels 25(4):356–358
Baleato González S, Vilanova Busquets JC, Garcia Figueiras R et al (2009) Imaging arteriovenous fistulas. AJR Am J Roentgenol 193:1425–1433
Kawashima A, Sandler CM, Ernst RD, Tamm EP, Goldman SM, Fishman EK (2000) CT evaluation of renovascular disease. RadioGraphics 20:1321–1340
Boijsen E, Kohler R (1962) Renal arteriovenous fistulae. Acta Radiol 57:433–445
Kearse WS, Joseph AE, Sabanegh ES (1994) Transcatheter embolization of large idiopathic renal arteriovenous fistula. J Urol 151:967–969
Messing E, Kessler R, Kavaney PB (1976) Renal arteriovenous fistulas. Urology 8(2):101–107
Debruyne FMJ, Koene RAP, Moonen WA, Renders GAM, Chafik ML (1978) Intrarenal arteriovenous fistula following renal allograft biopsy. Eur Urol 4:435–437
Cloche P, Fays J, Souris D (1987) Fistule arterio-veineuse renal spontanee. J Urol 93:193–196
Rimon U, Heldenberg E, Gil C, Golan Ć, Shinfeld A, Garniek A (2007) Initial clinical experience using the Amplatzer vascular plug. Cardiovasc Intervent Radiol 30:650–654
Weiping Wang W, Li H, Tam MD, Zhou D, Wang DX, Spain J (2012) The Amplatzer vascular plug: a review of the device and its clinical applications. Cardiovasc Intervent Radiol 35(4):725–740
Tabori NE, Love BA (2008) Transcatheter occlusion of pulmonary arteriovenous malformations using the Amplatzer vascular plug II. Catheter Cardiovasc Interv 71(7):940–943
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Perkov, D., Novačić, K., Novosel, L. et al. Percutaneous embolization of idiopathic renal arteriovenous fistula using Amplatzer vascular plug II. Int Urol Nephrol 45, 61–68 (2013). https://doi.org/10.1007/s11255-012-0358-y
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DOI: https://doi.org/10.1007/s11255-012-0358-y