Arteriovenous fistula of the kidney: a case report of 47-year-old female patient treated by embolisation

Paschalis-Purtak, K.; Januszewicz, Magdalena; Rokicki, A; Puciłowska, Bogna; Imiela, Jacek; Cybulska, I; Cieśla, Witold; Prejbisz, Aleksander; M, Szostek; Januszewicz, A.

doi:10.1038/sj.jhh.1001544

Cited by 9 publications

(6 citation statements)

References 12 publications

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“…The cirsoid type appears with a webbing of multiple varices, whereas idiopathic rAVFs appear to have one or two large cavernous connections with well-defined arterial and venous components 4, 5. Idiopathic rAVFs represent only 2% to 5% of all rAVFs 6 . In the absence of trauma or instrumentation, our patient was diagnosed with a congenital idiopathic rAVF.…”

Section: Discussionmentioning

confidence: 77%

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Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian

Minarchick

Simoni

Ferranti

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Congenital renal arteriovenous fistula (rAVF) is a rare and often underdiagnosed clinical condition. Here, we present a case of a large congenital rAVF in an 81-year-old woman with a right flank bruit and high-output heart failure. The rAVF was successfully treated with percutaneous endovascular coil embolization. Complications included a small right renal hematoma, mild contrast-induced nephropathy, and small right renal infarct in the lower pole. Postoperatively, the patient had complete resolution of symptoms with salvage of the kidney. She has been observed annually for 5 years with computed tomography scan and ultrasound examination.

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Section: Discussionmentioning

confidence: 77%

“…Improvements in noninvasive imaging have allowed increased diagnosis and treatment of rAVFs 1 . Duplex ultrasound is an effective screening modality for patients with a suspected rAVF 6 . Once the diagnosis is confirmed, CTA is typically performed to guide treatment.…”

Section: Discussionmentioning

confidence: 99%

Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian

Minarchick

Simoni

Ferranti

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…To the best of our knowledge, there is only one case of idiopathic renal AV fistula undergoing spontaneous closure[10]. Endoluminal occlusion is usually the management of choice in renal AV fistulae since it occludes the shunt while preserving the renal function[11]. Large shunt size and possibility of migration of embolizing material may limit endovascular management, warranting surgical management[3,4,12].…”

Section: Discussionmentioning

confidence: 99%

Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Nagpal

Bathla

Saboo

et al. 2016

WJCC

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An idiopathic renal arteriovenous (AV) fistula is a rare malformation of the kidney that may present insidiously with heart failure or hematuria. The treatment may be challenging due to large fistula size that may limit endovascular management. The authors report a case of an 85-year-old Caucasian woman who presented with acute heart failure and was found to have a right renal AV fistula. Since she had no prior history of renal intervention or trauma, a diagnosis of idiopathic renal AV fistula was made. She was managed by endoluminal occlusion using multiple stainless steel coils and Amplatzer vascular plug II device. The follow-up computed tomography showed complete occlusion of the fistula. This report highlights the late presentation of this rare disease and presents the utility of the combination of coils and Amplatzer device for management of a large fistula. It also reiterates that even if large, these fistulas can be managed by endovascular occlusion.

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“…97,98 Hypertension is found in about 40% of patients with rAVF and may be caused by local renal ischemia resulting from a short circuit of blood with secondary activation of the renin-angiotensin system. 97,99 It has been reported that rAVF may be a cause of severe hypertension in pregnancy, and successful embolization has been followed by subsequent decrease in BP. 100 It should also be taken into consideration that a subset of patients with rAVF may have in fact coexisting essential hypertension.…”

Section: Renal Arteriovenous Fistulamentioning

confidence: 99%

Beyond Atherosclerosis and Fibromuscular Dysplasia: Rare Causes of Renovascular Hypertension

et al. 2021

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Renovascular hypertension is one of the most common forms of secondary hypertension. Over 95% of cases of renovascular hypertension are due either to atherosclerosis of the main renal artery trunks or to fibromuscular dysplasia. These two causes of renal artery stenosis have been extensively discussed in recent reviews and consensus. The aim of the current article is to provide comprehensive and up-to-date information on the remaining causes. While these causes are rare or extremely rare, etiologic and differential diagnosis matters both for prognosis and management. Therefore, the clinician cannot ignore them. For didactic reasons, we have grouped these different entities into stenotic lesions (neurofibromatosis type 1 and other rare syndromes, dissection, arteritis, and segmental arterial mediolysis) often associated with aortic coarctation and other arterial abnormalities, and nonstenotic lesions, where hypertension is secondary to compression of adjacent arteries and changes in arterial pulsatility (aneurysm) or to the formation of a shunt, leading to kidney ischemia (arteriovenous fistula). Finally, thrombotic disorders of the renal artery may also be responsible for renovascular hypertension. Although thrombotic/embolic lesions do not represent primary vessel wall disease, they are characterized by frequent macrovascular involvement. In this review, we illustrate the most characteristic aspects of these different entities responsible for renovascular hypertension and discuss their prevalence, pathophysiology, clinical presentation, management, and prognosis.

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Arteriovenous fistula of the kidney: a case report of 47-year-old female patient treated by embolisation

Cited by 9 publications

References 12 publications

Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian

Successful endovascular embolization of large symptomatic congenital renal arteriovenous fistula in an octogenarian

Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Beyond Atherosclerosis and Fibromuscular Dysplasia: Rare Causes of Renovascular Hypertension

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