“… 1 , 2 Renal arteriovenous fistulas can be of congenital origin (22–25%), idiopathic (3–5%) or acquired (70–75%). 2 , 3 High-flow vascular malformations (congenital) are called cirsoid aneurysms when they acquire a nest disposition. 2 Acquired aneurysms are more frequent and may be secondary to renal traumas, tumors or iatrogenic causes such as: renal biopsy, percutaneous renal surgery, percutaneous nephrostomy, open surgery and extracorporeal shock wave lithotripsy.…”