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Arteriovenous fistula complicating endopyelotomy
E S Malden1, D Picus, R V Clayman
1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
The Journal of Urology
|November 1, 1992
Summary
Arteriovenous fistula and pseudoaneurysm complications after endopyelotomy can be successfully managed using interventional radiology. Variant renal artery anatomy may influence complication risk during this procedure.
Area of Science:
- Urology
- Interventional Radiology
- Vascular Surgery
Background:
- Endopyelotomy is a minimally invasive surgical procedure used to treat ureteral strictures.
- Complications such as arteriovenous fistula and pseudoaneurysm formation can occur after endopyelotomy.
- Variant renal artery anatomy is a potential contributing factor to these complications.
Observation:
- A case of arteriovenous fistula and pseudoaneurysm following endopyelotomy is presented.
- The patient's presentation and diagnostic workup are detailed.
- The role of variant renal artery anatomy in the development of these complications is highlighted.
Findings:
- Successful management of the arteriovenous fistula and pseudoaneurysm was achieved using interventional radiology techniques.
- The specific interventional techniques employed are described.
- The relationship between the patient's unique renal artery anatomy and the endopyelotomy procedure is discussed.
Implications:
- Interventional radiology offers effective treatment options for post-endopyelotomy vascular complications.
- Awareness of variant renal artery anatomy is crucial for risk assessment and prevention during endopyelotomy.
- This case underscores the importance of a multidisciplinary approach in managing complex urological cases.