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Technical Aspects of the Mouse Aortocaval Fistula
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Published on: July 11, 2013

Uretro-arterial fistulas.

Michael Darcy1

  • 1Department of Radiology, Mallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, MO 63110, USA. darcym@wustl.edu

Techniques in Vascular and Interventional Radiology
|December 1, 2009
PubMed
Summary
This summary is machine-generated.

Ureteral arterial fistula (UAF) is a rare but growing condition causing gross hematuria. Early diagnosis via angiography and treatment with arterial stent grafts are crucial for survival.

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Area of Science:

  • Urology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Ureteral arterial fistula (UAF) is an uncommon but increasingly reported condition.
  • It often presents as gross hematuria in patients with risk factors like prior pelvic surgery, radiation, or ureteral stenting.
  • Undiagnosed UAF carries a significant mortality risk.

Purpose of the Study:

  • To highlight the diagnostic challenges and optimal management strategies for ureteral arterial fistula.
  • To emphasize the importance of timely diagnosis and intervention to reduce mortality.

Main Methods:

  • Diagnosis is primarily achieved through selective angiography.
  • Provocative maneuvers during angiography are frequently employed to confirm the diagnosis.
  • Treatment involves endovascular repair using stent grafts.

Main Results:

  • Over 100 cases of UAF have been reported, indicating an increasing incidence.
  • Angiography with provocative maneuvers is effective in diagnosing UAF.
  • Arterial stent graft deployment is the current preferred therapeutic option.

Conclusions:

  • Ureteral arterial fistula requires prompt diagnosis and management.
  • Angiography is the gold standard for diagnosis.
  • Endovascular stent grafting offers a successful treatment for UAF.