Transcatheter embolization of an aortocaval fistula caused by residual renal artery stump from previous nephrectomy: a case report

J Vasc Surg. 1993 Apr;17(4):794-7.

Abstract

An arteriovenous fistula between the renal artery and vein is a rare complication of nephrectomy. We report the first case of direct inferior vena cava to renal artery fistula after nephrectomy. In addition, this was the first use of the Amplatz "spider," a vascular obstructing device used to trap coils during transcatheter embolization of a high-flow fistula. The patient's fistula was embolized successfully, with immediate improvement of symptoms and without pulmonary embolization.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Abdominal* / diagnostic imaging
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / therapy*
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods*
  • Equipment Design
  • Female
  • Humans
  • Nephrectomy*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy*
  • Radiography
  • Renal Artery* / diagnostic imaging
  • Vena Cava, Inferior* / diagnostic imaging