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Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention

PURPOSE: To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation. CASE REPORT: A 59-year-old...

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Autores principales: Rhee, Yae Hyun, Busch, Lucas, Sansone, Roberto, Ertas, Neslihan, Floros, Nikolaos, Schelzig, Hubert, Mulorz, Joscha, Wagenhäuser, Markus Udo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6930724/
https://www.ncbi.nlm.nih.gov/pubmed/31915564
http://dx.doi.org/10.1155/2019/8530641
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author Rhee, Yae Hyun
Busch, Lucas
Sansone, Roberto
Ertas, Neslihan
Floros, Nikolaos
Schelzig, Hubert
Mulorz, Joscha
Wagenhäuser, Markus Udo
author_facet Rhee, Yae Hyun
Busch, Lucas
Sansone, Roberto
Ertas, Neslihan
Floros, Nikolaos
Schelzig, Hubert
Mulorz, Joscha
Wagenhäuser, Markus Udo
author_sort Rhee, Yae Hyun
collection PubMed
description PURPOSE: To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation. CASE REPORT: A 59-year-old female suffering from a post-traumatic RAVF presented with tachycardia and increased cardiac output (CO). Doppler ultrasonography and computed tomography (CT) scan revealed a high-flow RAVF with multiple RVAs and unilateral critically reduced kidney function. Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation. No anti-platelet medication was administrated after the occlusion of the LRA. The patient's physical capacity improved since right heart volume strain was normalized, and CO was reduced. CONCLUSION: Transbrachial AVP II occlusion of the LRA is effective to occlude high-flow RAVFs to prevent risk of life-threatening RVA rupture. Additional follow-up is warranted to verify long-term effectiveness of this approach.
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spelling pubmed-69307242020-01-08 Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention Rhee, Yae Hyun Busch, Lucas Sansone, Roberto Ertas, Neslihan Floros, Nikolaos Schelzig, Hubert Mulorz, Joscha Wagenhäuser, Markus Udo Case Rep Vasc Med Case Report PURPOSE: To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation. CASE REPORT: A 59-year-old female suffering from a post-traumatic RAVF presented with tachycardia and increased cardiac output (CO). Doppler ultrasonography and computed tomography (CT) scan revealed a high-flow RAVF with multiple RVAs and unilateral critically reduced kidney function. Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation. No anti-platelet medication was administrated after the occlusion of the LRA. The patient's physical capacity improved since right heart volume strain was normalized, and CO was reduced. CONCLUSION: Transbrachial AVP II occlusion of the LRA is effective to occlude high-flow RAVFs to prevent risk of life-threatening RVA rupture. Additional follow-up is warranted to verify long-term effectiveness of this approach. Hindawi 2019-10-31 /pmc/articles/PMC6930724/ /pubmed/31915564 http://dx.doi.org/10.1155/2019/8530641 Text en Copyright © 2019 Yae Hyun Rhee et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rhee, Yae Hyun
Busch, Lucas
Sansone, Roberto
Ertas, Neslihan
Floros, Nikolaos
Schelzig, Hubert
Mulorz, Joscha
Wagenhäuser, Markus Udo
Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
title Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
title_full Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
title_fullStr Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
title_full_unstemmed Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
title_short Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
title_sort endovascular occlusion of a renal arteriovenous fistula with renal vein aneurysm formation for rupture prevention
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6930724/
https://www.ncbi.nlm.nih.gov/pubmed/31915564
http://dx.doi.org/10.1155/2019/8530641
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